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Assisted Living Follow-Up Visit, Low Complexity

New York rates for HCPCS 99335

A follow-up visit by a doctor or other qualified provider to a patient they already care for who lives in an assisted living residence, rest home, or similar place providing housing and personal care. It covers a low level of complexity, with a fuller history and examination than the briefest check but a problem that is not severe.

Rates data updated October 2026.

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $135 · 10th to 90th $135 to $135
$0.1$1$10$100facility $0professional $135

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
CDPHP
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$0.10
Median
$0.10
Typical High
$0.10
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Emblem Health
Setting
Professional
Modifier
GL · Free upgrade
Typical Low
$64.57
Median
$64.57
Typical High
$64.57