|
Table 9 – Physician Medicare Reimbursement |
|||||||
|
|
Office |
Office |
Office % |
|
Outpatient |
Outpatient |
OP % |
|
|
Current |
Revised |
Difference |
|
Current |
Revised |
Difference |
|
E&M |
2003 |
2004 Fee |
(NonFacility) |
|
2003 Fee |
2004 Fee |
(Facility) |
|
99201 |
34.95 |
36.22
|
3.6% |
|
23.17 |
23.52
|
1.5% |
|
99202 |
62.54 |
64.59
|
3.3% |
|
45.98 |
47.05
|
2.3% |
|
99203 |
92.7 |
95.96
|
3.5% |
|
70.26 |
71.69
|
2.0% |
|
99204 |
132.06 |
135.53 |
2.6% |
|
103.74 |
105.66 |
1.9% |
|
99205 |
168.48 |
172.13 |
2.2% |
|
137.58 |
140.39 |
2.0% |
|
99211 |
20.6 |
21.28
|
3.3% |
|
8.83 |
8.96 |
1.5% |
|
99212 |
36.42 |
37.71
|
3.5% |
|
23.17 |
23.52
|
1.5% |
|
99213 |
51.13 |
52.65
|
3.0% |
|
34.58 |
35.47
|
2.6% |
|
99214 |
79.82 |
82.14
|
2.9% |
|
56.65 |
57.87
|
2.2% |
|
99215 |
116.98 |
119.11 |
1.8% |
|
91.23 |
93.34
|
2.3% |
|
99241 |
47.45 |
50.03
|
5.4% |
|
33.11 |
33.98
|
2.6% |
|
99242 |
88.29 |
91.48
|
3.6% |
|
68.05 |
69.45
|
2.1% |
|
99243 |
116.61 |
120.60 |
3.4% |
|
90.49 |
92.22 |
1.9% |
|
99244 |
165.9 |
170.63 |
2.9% |
|
134.27 |
136.65 |
1.8% |
|
99245 |
215.2 |
220.29 |
2.4% |
|
177.67 |
181.09 |
1.9% |
Note: All fees are national averages. Hospital payment rates are adjusted by unique wage indexes for their own localities, and physician reimbursement is adjusted by geographic practice cost indices.