How much does Medicare pay for CPT 99447?

Medicare allowed an average of $35.24 per service and paid $26.41 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $101.55, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 99447?

Telephone or internet assessment with verbal and written report by consulting physician, 11-20 minutes. It was billed 5,344 times to 5,007 Medicare beneficiaries by 193 providers in 2024.

Does 99447 pay differently in an office than a hospital?

Yes. The allowed amount averaged $35.34 in an office setting and $35.17 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 99447 most?

Neurology, with 1,417 services from 56 clinicians. Next are Physician Assistant, Interventional Cardiology, Internal Medicine.

CPT 99447

Telephone or internet assessment with verbal and written report by consulting physician, 11-20 minutes

$35.24Medicare-allowed amount per service, averaged across 5,344 services

Providers submitted

$101.55

Asking price, not received

Medicare allowed

$35.24

The fee schedule figure

Medicare paid

$26.41

Balance is patient coinsurance

Providers submitted an average of $101.55 for this code and Medicare allowed $35.24 — 2.9× 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 $26.41 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $35.34
Hospital / facility: $35.17

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. 2,234 services were billed in an office setting and 3,110 in a facility.

Services: 5,344
Beneficiaries: 5,007
Providers billing it: 193
Total allowed: $188,323

What Medicare pays for CPT 99447

Across 5,344 services billed by 193 providers to 5,007 beneficiaries, Medicare allowed an average of $35.24 per service. 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 99447

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	1,417	1,410	$36.29	56
Physician Assistant	661	627	$31.22	24
Interventional Cardiology	580	532	$33.34	8
Internal Medicine	472	400	$37.52	17
Cardiology	470	434	$34.65	12
Infectious Disease	223	216	$36.39	11
Nurse Practitioner	199	165	$31.67	8
Neurosurgery	192	190	$36.57	8
Hematology-Oncology	182	177	$37.33	8
Psychiatry	154	114	$35.86	6
Endocrinology	92	91	$37.11	2
Gastroenterology	90	77	$38.25	2
Diagnostic Radiology	86	84	$38.21	4
Emergency Medicine	57	57	$34.69	4
Pulmonary Disease	48	45	$36.19	2

99447 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	1,137	$37.35	$25.92	44
Mississippi	864	$33.32	$25.94	12
New York	565	$36.13	$25.53	16
North Carolina	273	$31.10	$24.81	9
Virginia	248	$36.01	$26.51	8
Pennsylvania	238	$33.72	$26.65	12
Washington	196	$32.40	$23.85	6
Ohio	194	$33.68	$25.77	12
Texas	190	$35.09	$26.25	8
Colorado	185	$33.20	$23.14	12
New Jersey	173	$36.97	$25.37	6
Maryland	133	$38.25	$25.66	5
Massachusetts	115	$36.84	$27.20	5
Florida	105	$37.20	$26.00	4
Georgia	103	$36.03	$27.85	6
Illinois	91	$37.85	$26.63	4
Arizona	70	$35.78	$27.44	3
Tennessee	61	$33.72	$27.72	3
West Virginia	55	$35.86	$26.59	2
Kansas	53	$34.56	$27.20	1
Louisiana	51	$34.23	$25.99	2
Alabama	36	$41.29	$25.76	1
Michigan	34	$35.98	$27.23	2
South Carolina	33	$33.87	$26.39	2
Missouri	32	$33.69	$28.03	1
Wisconsin	26	$34.63	$28.17	1
Minnesota	24	$34.13	$21.91	2
Delaware	19	$37.34	$28.19	1
Utah	15	$29.23	$23.86	1
Idaho	14	$33.02	$25.62	1
Indiana	11	$33.53	$19.65	1

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.