What is procedure code 90733?

What is procedure code 90733?

CPT® Code 90733 in section: Meningococcal vaccine.

How much does a 99213 reimburse?

CPT CODE 2016 Fee 2017 FEE

99201 $35.96 $43.6
99212 $37.17 $43.1
99213 $58.89 $72.7
99214 $88.33 $107.2
99215 $118.95 $144.8

What is a reimbursement rate?

Reimbursement rates means the formulae to calculate the dollar allowed amounts under a value-based or other alternative payment arrangement, dollar amounts, or fee schedules payable for a service or set of services.

What is a reimbursement schedule?

Reimbursement Schedule means the compensation payable to Practitioner by a Payor, as payment in full, for Practitioner’s provision of Covered Services to Members.

How much can you charge for a 99214?

Prices for Standard Primary Care Services

CPT Code Cost Description
99212 $70 Standard 5-10 Minute Office Visit
99213 $95 Standard 10-15 Minute Office Visit
99214 $130 Standard 20-25 Minute Office Visit
99215 $180 Standard 30-45 Minute Office Visit

What are some types of fee schedules?

In general, there are typically three levels of fee schedules: Medicare, Medicaid, and Commercial. The different levels of fee schedules offer varying levels of payment rates to the physician and are determined separately by the various involved parties.

What are the four main methods of reimbursement?

Here are the five most common methods in which hospitals are reimbursed:

  1. Discount from Billed Charges.
  2. Fee-for-Service.
  3. Value-Based Reimbursement.
  4. Bundled Payments.
  5. Shared Savings.

How Much Does Medicare pay for Pneumovax 23?

How much do the pneumonia vaccines cost? Medicare Part B covers 100% of the cost of the pneumococcal vaccines with no copayments or other costs. Check that your provider accepts Medicare assignment before the visit to ensure full coverage.

How is allowed amount determined?

If you used a provider that’s in-network with your health plan, the allowed amount is the discounted price your managed care health plan negotiated in advance for that service. Usually, an in-network provider will bill more than the allowed amount, but he or she will only get paid the allowed amount.

  • October 19, 2022