GretchenC123
Networker
Hello, I am auditing a medical record and the neuropsychologist billed $2,250.00 for a 96116 (did not use the modifier 95 even though the evaluation took place via video). When I do a search for the UCR reimbursement, the amount is $198.11 for November of 2021. I use Find-a-code for my UCR numbers. How can these numbers be so far apart? Any thoughts? The outpatient facility UCR is closer to $2,000.00 but I am assuming that is for patients who go to a neurobehavior outpatient clinic.