How much does Medicare pay for CPT 99441?

Medicare allowed an average of $51.23 per service and paid $36.96 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $112.78, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 99441?

Telephone medical discussion with physician, 5-10 minutes. It was billed 415,036 times to 306,194 Medicare beneficiaries by 9,208 providers in 2024.

Does 99441 pay differently in an office than a hospital?

Yes. The allowed amount averaged $52.31 in an office setting and $32.54 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 99441 most?

Internal Medicine, with 101,286 services from 1,561 clinicians. Next are Nurse Practitioner, Family Practice, Physician Assistant.

CPT 99441

Telephone medical discussion with physician, 5-10 minutes

$51.23Medicare-allowed amount per service, averaged across 415,036 services

Providers submitted

$112.78

Asking price, not received

Medicare allowed

$51.23

The fee schedule figure

Medicare paid

$36.96

Balance is patient coinsurance

Providers submitted an average of $112.78 for this code and Medicare allowed $51.23 — 2.2× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $36.96 (72%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $52.31
Hospital / facility: $32.54

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 392,431 services were billed in an office setting and 22,605 in a facility.

Services: 415,036
Beneficiaries: 306,194
Providers billing it: 9,208
Total allowed: $21,262,294

What Medicare pays for CPT 99441

Across 415,036 services billed by 9,208 providers to 306,194 beneficiaries, Medicare allowed an average of $51.23 per service. That is 1.4 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 99441

Specialty	Services	Beneficiaries	Avg allowed	Providers
Internal Medicine	101,286	62,078	$55.00	1,561
Nurse Practitioner	67,859	53,349	$43.45	1,813
Family Practice	47,406	33,277	$53.00	1,102
Physician Assistant	30,020	26,153	$43.74	975
Urology	20,581	17,454	$53.61	470
Cardiology	18,593	15,211	$55.17	316
Hematology-Oncology	13,015	10,373	$48.67	304
Geriatric Medicine	7,361	3,057	$56.99	53
Orthopedic Surgery	7,071	6,324	$50.32	240
Physical Medicine and Rehabilitation	5,951	4,323	$55.90	125
Pulmonary Disease	5,697	4,420	$54.13	112
Gastroenterology	5,320	4,505	$54.89	125
General Practice	5,232	3,298	$55.39	60
Vascular Surgery	5,130	4,562	$52.88	137
Neurology	4,994	3,766	$55.77	109

99441 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	77,611	$54.67	$38.75	1,338
New York	66,090	$57.06	$38.36	1,082
Florida	28,951	$51.55	$38.90	551
Texas	28,309	$48.02	$37.59	694
New Jersey	20,509	$54.58	$39.75	346
Illinois	14,923	$49.38	$36.33	442
Pennsylvania	13,094	$49.09	$37.46	327
Maryland	12,788	$55.60	$38.33	257
Virginia	10,932	$49.44	$36.05	286
Massachusetts	10,676	$52.10	$35.95	294
Arizona	10,470	$48.92	$38.20	222
Michigan	10,169	$48.42	$36.89	302
North Carolina	7,697	$42.75	$35.56	226
Ohio	7,488	$43.00	$32.30	280
Washington	6,447	$49.04	$35.36	191
Georgia	6,313	$46.70	$37.25	169
Tennessee	6,094	$43.95	$36.76	158
Minnesota	4,942	$52.28	$37.97	185
Kansas	4,602	$47.62	$38.49	47
Oregon	4,430	$48.80	$35.96	133
South Carolina	4,396	$44.95	$36.73	127
Indiana	4,282	$45.00	$36.25	107
Arkansas	3,974	$41.13	$36.51	86
Missouri	3,571	$45.82	$36.25	115
Colorado	3,543	$50.61	$37.72	78
Wisconsin	3,270	$39.85	$31.06	123
New Mexico	3,127	$43.11	$35.04	76
West Virginia	2,947	$46.19	$36.10	90
Nebraska	2,899	$35.44	$33.69	52
Oklahoma	2,881	$44.30	$36.52	59
Hawaii	2,461	$50.60	$34.94	44
Connecticut	2,347	$52.31	$36.50	70
Kentucky	2,269	$41.91	$35.91	49
New Hampshire	2,214	$51.93	$37.68	66
Alabama	2,141	$44.90	$38.25	70
Nevada	1,910	$51.67	$37.65	40
Delaware	1,652	$49.90	$38.33	37
Rhode Island	1,491	$49.98	$36.92	48
Louisiana	1,453	$45.96	$36.88	52
District of Columbia	1,417	$54.78	$33.74	29
Alaska	1,070	$55.58	$32.05	43
Mississippi	1,054	$43.83	$36.62	31
Montana	930	$41.00	$28.80	30
Maine	876	$39.36	$28.60	31
Iowa	834	$49.73	$38.21	19
Vermont	819	$50.90	$36.57	20
Idaho	771	$40.62	$34.90	24
Puerto Rico	723	$44.93	$39.61	17
Utah	527	$46.84	$37.04	20
Wyoming	343	$50.34	$36.04	12
U.S. Virgin Islands	150	$50.40	$40.06	5
South Dakota	116	$38.96	$31.64	5
North Dakota	43	$45.18	$33.40	3

Related codes

99490Chronic care management services$59.70
99439Chronic care management services for two or more chronic conditions$46.13
99497Advance care planning$73.95
99457Management using the results of remote vital sign monitoring per calen$48.61
99458Management using the results of remote vital sign monitoring per calen$39.11
99454Remote monitoring of physiologic parameters$47.97
99489Complex chronic care management services for two or more chronic condi$67.00
99442Telephone medical discussion$83.84
99443Telephone medical discussion$120.39
99487Complex chronic care management services for two or more chronic condi$124.70
99496Transitional care management services for problem of high complexity$252.87
99426Principal care management services for a single high-risk disease$60.08

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.