Medicare payment - office CPT and hospital CPT code

  Check your local medicare for exact amount. Here is the amount for Florida.

CPT Code	Description	Mod	POS	Medicare Allowed Amount for Office	Medicare Allowed Amount for Hospital

99203	OFFICE VISIT NEW PATIENT LVL 3	-	Office	99.1	74.95
99204	OFFICE VISIT NEW PATIENT LVL 4	-	Office	154.59	126.94
99205	OFFICE VISIT NEW PATIENT LVL 5	-	Office	193.65	163.21
99211	OFFICE VISIT ESTABLISHED LVL 1	-	Office	19.02	9.22
99212	OFFICE VISIT ESTABLISHED LVL 2	-	Office	39.13	25.13
99213	OFFICE VISIT ESTABLISHED LVL 3	-	Office	65.75	49.31
99214	OFFICE VISIT ESTABLISHED LVL 4	-	Office	98.37	75.62
99215	OFFICE VISIT ESTABLISHED LVL 5	-	Office	133.09	106.84
99219	23 HOUR OBS ADMIT LVL 2	25	Hospital	107.58	-
99221	HOSP ADMISSION LVL 1	-	Hospital	98.01	-
99222	HOSP ADMISSION LVL 2	-	Hospital	132.47	-
99223	HOSP ADMISSION LVL 3	-	Hospital	194.32	-
99231	HOSP SUB LVL 1	-	Hospital	38.66	-
99232	HOSP SUB LVL 2	-	Hospital	69.63	-
99233	HOSP SUB LVL 3	-	Hospital	100.15	-
99234	OBS OR INPAT LVL 1	-	Hospital	133.11	-
99235	OBS OR INPAT LVL 2	-	Hospital	173.15	-
99236	OBS OR INPAT LVL 3	-	Hospital	215.05	-
99238	HOSPITAL DISCHARGE 30 MINS OR LESS	-	Hospital	68.19	-
99239	HOSPITAL DISCHARGE ADDITIONAL 30 MINS	-	Hospital	100.12	-
99283	ER CONSULT LVL 3	-	Hospital	62.85	-
99284	ER CONSULT LVL 4	-	Hospital	119.81	-
99291	CRITICAL CARE 1ST HOUR	-	Hospital	262.25	221.3
99292	CRITICAL CARE ADDITIONAL 1 2 HOUR	-	Hospital	119.36	110.96
G0372	MD SERVICE REQUIRED FOR PMD	-	Office	10.96	8.51