See what care costs
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What a service usually pays, what a bill means, and the next step for a denial. For your team: what every code actually pays across all 109 Medicare localities, and the edits that deny claims.
Most-billed codes, priced today
CMS Medicare PFS · October 2026| Code | Service | Category | Medicare pays |
|---|---|---|---|
| 99213 | Office visit, established patient (20 min) Evaluation & management (CPT® descriptor withheld: AMA licence required) | Evaluation & management | $95.19 |
| 99214 | Office visit, established patient (30 min) Evaluation & management (CPT® descriptor withheld: AMA licence required) | Evaluation & management | $135.61 |
| 99203 | Office visit, new patient (30 min) Evaluation & management (CPT® descriptor withheld: AMA licence required) | Evaluation & management | $117.57 |
| 99204 | Office visit, new patient (45 min) Evaluation & management (CPT® descriptor withheld: AMA licence required) | Evaluation & management | $177.36 |
| 90837 | Psychotherapy, 60 minutes Medicine (CPT® descriptor withheld: AMA licence required) | Medicine | $167.00 |
| 90834 | Psychotherapy, 45 minutes Medicine (CPT® descriptor withheld: AMA licence required) | Medicine | $113.90 |
| 99283 | Emergency department visit, low complexity Evaluation & management (CPT® descriptor withheld: AMA licence required) | Evaluation & management | Not RVU-priced |
| 99284 | Emergency department visit, moderate complexity Evaluation & management (CPT® descriptor withheld: AMA licence required) | Evaluation & management | Not RVU-priced |
National non-facility amounts before payer adjustments and cost sharing. Pick your locality in a code page for the local rate.
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