CPT Code 99213: Established patient office visit, 20-29 minutes

The main differences between the two codes are the nature and complexity of medical decision making and the time spent with the patient. 99214 is for more complex visits that may require the healthcare provider to spend time with the patient for around 30 to 39 minutes.

Rates will vary depending on the insurance company, location, etc. However, rates can range from around $87 to over $250.

One example could be a follow-up with a patient with hypertension but who has controlled blood pressure, wherein the healthcare provider will check their condition, adjust their medication (if needed), and provide recommendations for any further lifestyle modifications (if needed).