MY PROFIT CALCULATOR
Number of Patients per Month:
My First Month Profit $
My Monthly Profit After First Month $
My Profit per Year $
| CPT CODE | REIMBURSEMENT AMOUNT | DESCRIPTION | BILLING FRECUENCY | MY PROFIT |
|---|---|---|---|---|
| 99453 | $19.45 | Initial Set-Up and Patient Education | One Time | $ |
| 99454 | $64.15 | The Implemented Technology: Devices Supply, Alerts & Recordings | Monthly | $ |
| 99457 | $54.54 | First 20 min of Monitoring and Treatment Management; Base Code. Requires Monthly LIVE Interaction by Prescribing Clinician (Phone Call, Visit, etc.) | Monthly | $ |
| 99458 | $42.20 | Additional 20min: Add-on Code to 99457** (10% of Patients/M) | Monthly | $ |
CPT CODES
| Code | deSCRIPTION | Time (min) |
2020 National Average Medicare Payment |
|---|---|---|---|
| G2012 | Virtual check-in | 5-10 | $14.80 |
| G2061 | Qualified nonphysician health care professional online digital E/M service for an established patient for up to seven days (cumulative time). | 5-10 | $12.27 |
| G2062 | Qualified nonphysician health care professional online digital E/M service for an established patient for up to seven days (cumulative time). | 11-20 | $$21.65 |
| G2063 | Qualified nonphysician health care professional online digital E/M service for an established patient for up to seven days (cumulative time). | 21+ | $33.92 |
| 98967 | Telephone assessment and management service is provided by a qualified nonphysician health care professional. | 11-20 | $28.15 |
| 98968 | Telephone assessment and management service is provided by a qualified nonphysician health care professional. | 21-30 | $41.14 |
| 98970 | Qualified nonphysician health care professional online digital E/M service for an established patient for up to seven days (cumulative time). | 5-10 | varies |
| 98971 | Qualified nonphysician health care professional online digital E/M service for an established patient for up to seven days (cumulative time). | 11-20 | varies |
| 98972 | Qualified nonphysician health care professional online digital E/M service for an established patient for up to seven days (cumulative time). | 21+ | varies |
| 98996 | Telephone assessment and management service is provided by a qualified nonphysician health care professional. | 5-10 | $14.44 |
| 99421 | Online digital E/M service for an established patient for up to seven days (cumulative time). | 5-10 | $15.52 |
| 99422 | Online digital E/M service for an established patient for up to seven days (cumulative time). | 11-20 | $31.04 |
| 99423 | Online digital E/M service for an established patient for up to seven days (cumulative time). | 21+ | $50.16 |
| 99441 | Telephone evaluation and management (E/M) service by a physician or other qualified health care professional. | 5-10 | $14.44 |
| 99442 | Telephone E/M service by a physician or other qualified health care professional. | 11-20 | $28.15 |
| 99443 | Telephone E/M service by a physician or other qualified health care professional. | 21-30 | $41.14 |
| 99453 | Initial device setup and patient education. | $18.77 | |
| 99454 | Rental fee for devices that supply daily recordings or programmed alert transmission for 30 days. | $62.44 | |
| 99457 | RPM treatment management service by clinical staff, physicians, or other qualified health care professionals requiring 20 minutes of life, interactive communication with the patient or caregiver during a 30-day period. | $51.61 | |
| 99458 | Each additional 20 minutes. | $42.22 | |
| 99473 | Self-measured blood pressure using a device validated for clinical accuracy (Including patient education/training and device calibration). | $11.19 | |
| 99474 | Collection and review of separate self-measurements of two readings, one minute apart, twice daily over a 30-day period (minimum of 12 readings), and communication of a treatment plan as well as average systolic and diastolic pressures to the patient. | $15.16 |