Nebraska

Nebraska*

wdt_ID wdt_created_by wdt_created_at wdt_last_edited_by wdt_last_edited_at CPT Code Description Non-facility Rate Facility Rate
1 alex 17/06/2024 01:54 PM alex 17/06/2024 01:54 PM 99202 Office or other outpatient visit, new patient 52.63 37.73
2 alex 17/06/2024 01:54 PM alex 17/06/2024 01:54 PM 99203 Office or other outpatient visit, new patient 77.56 57.85
3 alex 17/06/2024 01:54 PM alex 17/06/2024 01:54 PM 99203 Office or other outpatient visit, new patient 57.84 0.00
4 alex 17/06/2024 01:54 PM alex 17/06/2024 01:54 PM 99204 Office or other outpatient visit, new patient 110.80 94.32
5 alex 17/06/2024 01:54 PM alex 17/06/2024 01:54 PM 99204 Office or other outpatient visit, new patient 94.32 0.00
6 alex 17/06/2024 01:54 PM alex 17/06/2024 01:54 PM 99205 Office or other outpatient visit, new patient 144.04 122.24
7 alex 17/06/2024 01:54 PM alex 17/06/2024 01:54 PM 99205 Office or other outpatient visit, new patient 122.24 0.00
8 alex 17/06/2024 01:54 PM alex 17/06/2024 01:54 PM 99212 Follow-up Outpatient E/M (10 min ATT) Problem focused/straightforward; Office or other outpatient visit, established patient 33.24 20.97
9 alex 17/06/2024 01:54 PM alex 17/06/2024 01:54 PM 99213 Follow-up Outpatient E/M (15 min ATT) Expanded problem /low complexity; Office or other outpatient visit, established patient 49.86 37.27
10 alex 17/06/2024 01:54 PM alex 17/06/2024 01:54 PM 99214 Follow-up Outpatient E/M (30 min ATT) Detailed/moderate complexity; Office or other outpatient visit, established patient 74.79 57.65
CPT Code Description Non-facility Rate Facility Rate

*Physician type not specified
**$0.00 amounts indicate unavailable fee information.