Fee Report Sample

 

Physician Fee Reports

Each Fee report is custom prepared for your specialty and geographic area (Zip Code).  Reports start with a definition of each category and includes additional claim submission information.  For Example: "For those CPT procedures that are described as "unlisted" and for very rarely performed or highly variable services, it is not possible to develop either fees or relative values.  Next to such codes you will find either By Report (BR) marker or a double dash (--).  Since it is unlikely that payers will have established fees for these services, claims listing these codes should be submitted with a special report that explains the nature of the service and a justification of your charge."

A page an actual 1997 Physician Fee Report:

Physician Fees -- 1997

                                                                                                                                   Page #41   
NEUROSURGERY

ZIP CODE: 89101

CPT Mod Description RVU 30th 50th 65th 80th 95th Medicare
95930   Visual Evoked Potential (VEP) Test 3.57 87 118 141 171 234 41.35
95930 -30 Visual Evoked Potential (VEP) Test 2.56 62 85 101 123 167 32.34
95933   Blink Reflex Test 4.32 105 143 171 207 283 64.98
95933 -26 Blink Reflex Test 2.55 62 84 101 122 167 37.05
95934   H-Reflex Test, Gastrocnemicus Muscle 3.19 77 106 126 153 209 36.25
95934 -26 H-Reflex Test, Gastrocnemicus Muscle 2.48 60 82 98 119 162 28.68
95936   H-Reflex Test, Other Muscles 3.37 82 112 133 162 220 37.50
95936 -26 H-Reflex Test, Other Muscles 2.65 64 88 105 127 173 29.93
95937   Neuromuscular Junction Test 3.66 97 122 141 164 214 49.23
95937 -26 Neuromuscular Junction Test 2.69 65 89 106 129 176 37.19
95950   Ambulatory EEG Monitoring 15.45 375 511 611 741 1011 317.70
95950 -26 Ambulatory EEG Monitoring 4.75 115 157 188 228 311 92.34
                   
22899   Spine Surgery Procedure NEC -- BR BR BR BR BR --

                          
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