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MGMA median benchmark: 5,200 wRVUs/year
E&M (Clinic) Codes
- 99202 — New patient, straightforward (0.93 wRVU)
- 99203 — New patient, low (1.6 wRVU)
- 99204 — New patient, moderate (2.6 wRVU)
- 99205 — New patient, high (3.5 wRVU)
- 99212 — Est. patient, straightforward (0.7 wRVU)
- 99213 — Est. patient, low (1.3 wRVU)
- 99214 — Est. patient, moderate (1.92 wRVU)
- 99215 — Est. patient, high (2.8 wRVU)
- 99221 — Initial hospital, low (1.92 wRVU)
- 99222 — Initial hospital, moderate (2.61 wRVU)
- 99223 — Initial hospital, high (3.86 wRVU)
- 99231 — Subsequent hospital, low (0.76 wRVU)
- 99232 — Subsequent hospital, moderate (1.39 wRVU)
- 99233 — Subsequent hospital, high (2 wRVU)
- 99238 — Discharge day, ≤30 min (1.28 wRVU)
- 99239 — Discharge day, >30 min (1.9 wRVU)
- 99242 — Consultation, straightforward (1.4 wRVU)
- 99243 — Consultation, low (2.29 wRVU)
- 99244 — Consultation, moderate (3.33 wRVU)
- 99245 — Consultation, high (4.38 wRVU)
- 99291 — Critical care, first hr (4.5 wRVU)
- 99292 — Critical care, addl 30 min (2.25 wRVU)
- 99381 — Preventive visit, new, infant (1.5 wRVU)
- 99391 — Preventive visit, est, infant (1.22 wRVU)
- 99385 — Preventive visit, new, 18-39 (1.5 wRVU)
- 99395 — Preventive visit, est, 18-39 (1.3 wRVU)
- 99396 — Preventive visit, est, 40-64 (1.5 wRVU)
- 99397 — Preventive visit, est, 65+ (1.6 wRVU)
Family Medicine Procedure Codes
- 17000 — Destroy lesion, first (0.61 wRVU)
- 17003 — Destroy lesion, 2nd-14th (0.04 wRVU)
- 17110 — Destroy warts, up to 14 (0.7 wRVU)
- 17111 — Destroy warts, 15+ (1.07 wRVU)
- 11200 — Skin tag removal, up to 15 (0.8 wRVU)
- 12001 — Simple repair, ≤2.5 cm (1.14 wRVU)
- 12002 — Simple repair, 2.6-7.5 cm (1.53 wRVU)
- 12004 — Simple repair, 7.6-12.5 cm (1.99 wRVU)
- 12011 — Simple repair face, ≤2.5 cm (1.53 wRVU)
- 10060 — I&D abscess, simple (1.22 wRVU)
- 10061 — I&D abscess, complicated (2.65 wRVU)
- 10080 — I&D pilonidal cyst (1.5 wRVU)
- 20610 — Joint injection, major (1.13 wRVU)
- 20611 — Joint injection, US-guided (1.42 wRVU)
- 20552 — Trigger point injection, 1-2 (0.75 wRVU)
- 20553 — Trigger point injection, 3+ (0.89 wRVU)
- 20600 — Joint injection, small (0.83 wRVU)
- 11102 — Shave biopsy, single (0.56 wRVU)
- 11103 — Shave biopsy, addl (0.25 wRVU)
- 11104 — Punch biopsy, single (0.61 wRVU)
- 11105 — Punch biopsy, addl (0.3 wRVU)
- 11400 — Excision benign, ≤0.5 cm (0.9 wRVU)
- 11401 — Excision benign, 0.6-1.0 cm (1.15 wRVU)
- 58100 — Endometrial biopsy (1.58 wRVU)
- 58300 — IUD insertion (1.78 wRVU)
- 58301 — IUD removal (0.96 wRVU)
- 11981 — Nexplanon insertion (1.08 wRVU)
- 11982 — Nexplanon removal (1.3 wRVU)
- 97597 — Wound debridement, first 20 cm² (0.62 wRVU)
- 97598 — Wound debridement, addl 20 cm² (0.3 wRVU)
- 69210 — Cerumen removal (0.61 wRVU)
- 11730 — Nail removal, simple (0.56 wRVU)
- 11750 — Nail matrixectomy (1.58 wRVU)