99441 — Telephone medical discussion with physician, 5-10 minutes

What the market charges

Across 650 negotiated rates, the middle 80% fall between $33 and $210, with a median of $114.

What Medicare pays

Medicare allowed an average of $51 for this code, across 415,036 services billed by 9,208 providers. At the median, the market charges 2.2 times what Medicare pays for this code.

Where this is billed, and what it costs there

The states billing 99441 most, by Medicare service volume, each compared against the national average of $51. Each links to the providers Mishe lists there.

• California — 1,332 providers billed it, Medicare allowed $55 — 8% above the national average
• New York — 1,070 providers billed it, Medicare allowed $57 — 12% above the national average
• Florida — 554 providers billed it, Medicare allowed $52 — 2% above the national average
• Texas — 698 providers billed it, Medicare allowed $48 — 6% below the national average
• New Jersey — 347 providers billed it, Medicare allowed $55 — 8% above the national average
• Illinois — 440 providers billed it, Medicare allowed $50 — 2% below the national average
• Pennsylvania — 321 providers billed it, Medicare allowed $49 — 4% below the national average
• Maryland — 255 providers billed it, Medicare allowed $56 — 10% above the national average

Care pathways that use this code

Mishe builds care pathways that route a member to the right setting before anything is billed. These include 99441.

• Chest pain: get the right eyes on it, fast

Other codes

• 99214 — Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
• 99213 — Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
• 97530 — Therapy procedure using functional activities
• 99232 — Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
• 97112 — Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
• 99233 — Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
• 88305 — Pathology examination of tissue using a microscope, intermediate complexity
• 99309 — Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
• 87798 — Detection test by nucleic acid for organism, amplified probe technique
• 98941 — Chiropractic manipulative treatment, 3-4 spinal regions

Deploy this for your team

Every figure on this page came from published payer and Medicare data, assembled by Mishe. The same pricing, claim-editing and care-pathway intelligence runs underneath the plans Mishe operates.

• Contact Mishe to learn how to deploy these resources for your team
• Guides to direct-pay healthcare
• Cash prices by procedure
• Find a provider by state

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