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TO SCHEDULE A VISIT

SCHEDULE APT
PT FORMS

infectious disease doctor

SELF PAY

VISIT TYPE

1 Problem-Focused

2 Expanded Problem-Focused
3 Detailed, Low Complexity

4 Comprehensive, Moderate Complexity

5 Comprehensive, High Complexity

NEW PATIENT

99201 - $ 100.00
99202 - $ 140.00
99203 - $ 180.00
99204 - $ 220.00
99205 - $ 260.00

ESTABLISHED PATIENT

99211 - $ 75.00
99212 - $ 115.00
99213 - $ 155.00
99214 - $ 195.00
99215 - $ 235.00

TELEHEALTH

99421 (5 – 10 minutes)

$50.00

99422 (11 – 20 minutes)

$65.00

99423 (21 minutes or more)

$80.00

NO-SHOW FEE

$25.00
per missed visit

selfpay

RESOURCES

resources
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