CPT 99447 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Evaluation and Management • Non-Face-to-Face Services |
| Common Place of Service | • 11 - Office • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 95 - Telemedicine - audio and video • GC - Service performed by resident under supervision |
| Complexity Level | Low |
National average reimbursement for CPT 99447 by major payers:
$57.60
$43.29
$35.04
$68.85
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 99447 | ||||||
United | 99447 | $31.59 | 1568451987 - SCOTT YATES | 270104676 - (TX) NORTH TEXAS HOSPITAL PHYSICIANS GROUP | TX | Internal Medicine Physician (207R00000X) |
United | 99447 | $41.40 | 1538596531 - GLORIA MIRELES | 204701276 | TX | Neurology Physician (2084N0400X) |
United | 99447 | $40.40 | 1033126164 - MUSTAFA MUSA | 741903407 - (TX) BEAUMONT INTERNAL MEDICINE & GERIATRIC ASSOCIATES | TX | Internal Medicine Physician (207R00000X) |
United | 99447 | $40.04 | 1578706909 - PEARL JONES | 742932237 - (TX) COMMUNITY MEDICINE ASSOCIATES | TX | Neurology Physician (2084N0400X) |
United | 99447 | $63.93 | 1366601049 - KIRTANA SUNDERAJAN | 911947573 | TX | Internal Medicine Physician (207R00000X) |
United | 99447 | $51.77 | 1336594662 - MUHAMMAD ZAIN-UL-ABIDEEN | 42472758 - (MA) CHILD HEALTH FOUNDATION OF BOSTON INC | MA | Pediatrics Physician (208000000X) |
United | 99447 | $36.29 | 1962440875 - DONATUS EGBONIM | 922465140 | TX | Internal Medicine Physician (207R00000X) |
United | 99447 | $29.09 | 1851395495 - SHANKAR SANKA | 831623572 - (TX) COMPLETE CARE MEDICAL ASSOCIATES | TX | Internal Medicine Physician (207R00000X) |
United | 99447 | $40.40 | 1841245883 - JACK CHILDRESS | 464680208 | TX | Internal Medicine Physician (207R00000X) |
United | 99447 | $54.00 | 1417121245 - JOHN LINCOLN | 760459500 - U T PHYSICIANS | TX | Neurology Physician (2084N0400X) |
United | 99447 | $37.99 | 1437683018 - LOREDANA RAMMAGE | 352526373 - ACCLAIM PHYSICIAN GROUP INC | TX | Neurology Physician (2084N0400X) |
United | 99447 | $47.38 | 1154646560 - BENYAM ALEMU | 741586031 | TX | Internal Medicine Physician (207R00000X) |
United | 99447 | $33.45 | 1174566590 - VEENA REDDY | 934473770 - (TX) HHA HOSPITAL MEDICINE OF TEXAS PLLC | TX | Internal Medicine Physician (207R00000X) |
United | 99447 | $56.04 | 1316143407 - CHANDRINI JAYASUNDERA | 264562522 - SETON FAMILY OF DOCTORS | TX | Internal Medicine Physician (207R00000X) |
United | 99447 | $40.27 | 1083695126 - JOHN MULQUEEN | 42103581 - (MA) HENRY HEYWOOD MEMORIAL HOSPITAL | MA | Pediatrics Physician (208000000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 99447 vs. Other Non-Face-to-Face Services Codes
The CPT 99447 code is part of the Evaluation and Management services used for Non-Face-to-Face Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 99447 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 99446-CPT | Low | Interprofessional Telephone/Internet/Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patients Treating/Requesting Physician Or Other Qualified Health Care Professional;5-10 Minutes Of Medical Consultative Discussion And Review (Desc Rvsd 1/1/23) |
| 99447-CPT | Low | Interprofessional Telephone/Internet/Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patients Treating/Requesting Physician Or Other Qualified Health Care Professional;11-20 Minutes Of Medical Consultative Discussion And Review (Desc Rvsd 1/1/23) |
| 99448-CPT | Low | Interprofessional Telephone/Internet/Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patients Treating/Requesting Physician Or Other Qualified Health Care Professional;21-30 Minutes Of Medical Consultative Discussion And Review (Desc Rvsd 1/1/23) |
| 99449-CPT | Low | Interprofessional Telephone/Internet/Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patients Treating/Requesting Physician Or Other Qualified Health Care Professional;31 Minutes Or More Of Medical Consultative Discussion And Review (Desc Rvsd 1/1/23) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99447. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99447 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 99447) and we'll show you how you compare in 15 minutes or less.