99443 — Telephone medical discussion with physician, 21-30 minutes

What the market charges

Across 644 negotiated rates, the middle 80% fall between $86 and $479, with a median of $284.

What Medicare pays

Medicare allowed an average of $120 for this code, across 618,679 services billed by 12,074 providers. At the median, the market charges 2.4 times what Medicare pays for this code.

Where this is billed, and what it costs there

The states billing 99443 most, by Medicare service volume, each compared against the national average of $120. Each links to the providers Mishe lists there.

  • California — 2,418 providers billed it, Medicare allowed $128 — 7% above the national average
  • Massachusetts — 1,610 providers billed it, Medicare allowed $121 — 1% above the national average
  • New York — 1,025 providers billed it, Medicare allowed $129 — 8% above the national average
  • Texas — 674 providers billed it, Medicare allowed $113 — 6% below the national average
  • Illinois — 845 providers billed it, Medicare allowed $121 — 1% above the national average
  • Florida — 571 providers billed it, Medicare allowed $116 — 3% below the national average
  • New Jersey — 317 providers billed it, Medicare allowed $129 — 8% above the national average
  • Maryland — 309 providers billed it, Medicare allowed $117 — 2% below the national average

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.

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