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Observation Follow-Up Visit, Moderate Complexity

Ohio rates for HCPCS 99225

A follow-up visit by the doctor to a patient already being kept under observation in hospital. The doctor reviews how you have responded, checks results that have come back and adjusts the plan. This version covers a moderately involved review, where the picture is changing or several findings have to be weighed together.

Rates data updated July 2026.

How much rates vary

Facilitymedian $71 · 10th to 90th $71 to $1,738Professionalmedian $83 · 10th to 90th $66 to $112
$100$200$500$1Kfacility $71professional $83

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$81.28
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$109.65