CPT 99214
Evaluation and ManagementDoctor's visit for an established patient with a moderately complex health issue requiring more time
$165
Federal baseline rate
$200 - $500
Typical facility range
$150 - $350
Outpatient/clinic range
Official Description
Office or other outpatient visit, established patient, moderate complexity
Common Billing Errors
Watch for these issues when reviewing your bill
- Used when 99213 would be appropriate
- Missing documentation of medical decision making
- Time not documented when using time-based billing
What to Look For
Tips for reviewing this charge on your bill
- Verify moderate complexity medical decision making documented
- Check documentation supports level of service
- Review if multiple conditions were addressed
How to Dispute This Charge
- 1
Request an Itemized Bill
Ask your provider for a detailed bill showing all CPT codes and individual charges.
- 2
Compare to Typical Costs
Check if your charge falls within the typical range. Excessive charges may be negotiable.
- 3
Check for Errors
Review the common billing errors listed above and verify the service was actually performed.
- 4
Generate a Dispute Letter
Use our free tool to create a professional dispute letter citing specific concerns.
Quick Facts
Category
Evaluation and Management
CPT Code
99214
Medicare Rate
$165
Related CPT Codes
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