Specialty rate rollup
Pulmonology
Pulmonary function testing and bronchoscopy alongside office evaluation.
This is a curated starter set for comparison. It doesn't claim that every specialty bills every code, and it isn't a utilization-weighted average.
At a glance
Q1 2024 compared with the prior available PFS release.
Conversion factor: -1.8% decrease
Payable codes
6 / 6
Changed this release
6
Largest increase
94010 +0.7%
Office
Largest decrease
94640 -12.7%
Office
See the rates where you practice
Enter a ZIP code to apply that Medicare locality’s work, practice-expense, and malpractice adjustments to every row.
Current national rates Copy link
Q1 2024 releaseOffice (non-facility) and facility professional amounts, GPCI 1.000, before sequestration.
| Code and service | Status | Office (non-facility) | Facility |
|---|---|---|---|
| Visits and evaluation | |||
| 99213 Routine Follow-Up Office Visit | Active |
$90.87
No price history
|
$65.24
No price history
|
| 99214 Long Follow-Up Office Visit | Active |
$128.16
No price history
|
$96.20
No price history
|
| Testing and diagnostics | |||
| 94010 Spirometry | Active |
$27.30
No price history
|
$27.30
No price history
|
| 94060 Bronchodilator Responsiveness Testing | Active |
$38.95
No price history
|
$38.95
No price history
|
| Surgical and endoscopic procedures | |||
| 31622 | Active |
$248.99
No price history
|
$129.82
No price history
|
| Treatment and ongoing management | |||
| 94640 | Active |
$7.99
No price history
|
$7.99
No price history
|
Every code links to its contracted-rate (% of Medicare) table and a full RVU breakdown, plus billing-policy context and rate history.
How often these codes appear in Medicare Copy link
Across Original Medicare nationally in CY2024, the covered codes on this page accounted for the activity below. It counts use by clinicians of every specialty, not just Pulmonology, and CMS publishes it on a different cycle from the fee schedule.
Services
174.9M
Times these codes were billed
Allowed dollars
$18.0B
Across covered Medicare FFS services
Most used in this set
99214
103.7M services
Coverage: 6 of 6 displayed codes. HCPCS Level II and excluded drug codes may not appear in this utilization dataset.
What this specialty actually bills Medicare
Observed CY2024 Medicare fee-for-service billing by Pulmonology clinicians, grouped by CMS rendering-provider specialty. That grouping differs from this page's Pulmonology label, so treat it as context for the curated list above.
| Top codes by allowed dollars | Share of allowed | Allowed |
|---|---|---|
| 99291 not in the list above | 23.2% | $362.4M |
| 99214 | 17.0% | $265.5M |
| 99233 not in the list above | 12.4% | $194.8M |
| 99232 not in the list above | 6.9% | $108.5M |
| 99215 not in the list above | 4.8% | $74.8M |
| 99223 not in the list above | 4.1% | $64.9M |
| 99213 | 3.9% | $61.7M |
| 99204 not in the list above | 3.4% | $53.5M |
| 94729 not in the list above | 1.8% | $27.7M |
| 99205 not in the list above | 1.6% | $24.5M |
| Top codes by services | Share of services | Services |
|---|---|---|
| 99214 | 12.4% | 2.2M |
| 99291 not in the list above | 9.9% | 1.7M |
| 99233 not in the list above | 9.6% | 1.7M |
| 99232 not in the list above | 8.0% | 1.4M |
| 94729 not in the list above | 4.7% | 818,942 |
| 99213 | 4.1% | 709,472 |
| J2356 not in the list above | 3.5% | 616,374 |
| 94060 | 3.3% | 582,494 |
| 94726 not in the list above | 3.1% | 531,952 |
| 94010 | 2.8% | 492,038 |
Localis can price 86% of this cohort's observed services (96% of allowed dollars) under the Q1 2024 release. The rest is clinical lab, drugs, or services paid outside the PFS under other fee schedules, not $0.
Established patient office visits—Office (non-facility)
Visit levels as shares of the 2024 services observed in this family, across 8,014 clinicians.
New patient office visits—Office (non-facility)
Visit levels as shares of the 2024 services observed in this family, across 6,457 clinicians.
Also high-volume for this cohort (observed, not yet in the curated list above)
This is observed billing only. The curated table above is still this page's rate list.
CY2024 Medicare fee-for-service only. Codes billed by fewer than 30 observed clinicians in a single setting are not shown, so shares may not total 100%. CMS publishes only a facility vs non-facility split, not exact places of service. Observed use adds context to the curated table above. It doesn't weight or change any rate on this page.
Turn the list into contract math
Analyze a payer offer using these Pulmonology codes
We’ll preload the code set in Contract Check. Add your annual volumes and ZIP to see the volume-weighted percentage of Medicare and annual-dollar difference.
Get notified when Pulmonology rates change
Medicare updates the fee schedule every quarter. We'll email you only when a release moves one of the 6 Pulmonology codes on this page.
Did this answer your question about Pulmonology?
Tell us what you were trying to work out and we'll answer you or build the page that does.
Source & method Copy link
Amounts are computed from the CMS Medicare Physician Fee Schedule Q1 2024 release, GPCI 1.000, before the ~2% sequestration cut. The grouping by common clinical scenario is our own, not the AMA’s code-family taxonomy, and it’s a curated starter set, not a utilization-weighted specialty mix. A code with no amount is either not separately payable under the PFS or absent from the release. It never means $0.