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Medicare rate data current as of December 23, 2024 (CMS Physician Fee Schedule RVU25A). Next scheduled CMS update: January 2026. About our data

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Reimbursement rates sourced from CMS Medicare Physician Fee Schedule RVU25A. Data accurate as of release date. For informational purposes only — verify with payer contracts before billing decisions.

CPT codes and descriptions are copyright 2024 American Medical Association. All Rights Reserved.

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Compare CPT codes

See 2025 Medicare reimbursement rates and RVU details for any two CPT codes side-by-side.

99213E&M

Office o/p est low 20 min

Non-facility rate
$88.95
Facility rate$63.72
Work RVU1.30
PE RVU (non-fac)1.35
MP RVU0.10
Total RVU2.75
99214E&M

Office o/p est mod 30 min

Non-facility rate
$125.18
+40.7% vs 99213
Facility rate$93.80
Work RVU1.92
PE RVU (non-fac)1.80
MP RVU0.15
Total RVU3.87

Key differences

  • 99214 pays $36.23 more than 99213 (+40.7%)
  • Work RVU: 1.30 vs 1.92 (difference: 0.62)

Rates derived from CMS Medicare Physician Fee Schedule RVU25A. Locality-adjusted rates use 2025 GPCI values. For informational purposes only; verify before billing.