Medical Coding Revenue Calculator

Expected reimbursement from CPT codes and fee schedule.

Total visits per month

% Level 3 (99213)

% Level 4 (99214)

% Level 5 (99215)

% Other CPT codes

Avg other CPT reimbursement ($)

Commercial payer multiplier

Commercial payer mix (%)

Coding accuracy (%)

Tab to move between fields

Monthly expected revenue

$59,576

Annual expected revenue

$714,917

Avg revenue per visit$148.94

Annual wRVUs generated8,856

Coding improvement opportunity$6,821

Blended rate: Level 3$104.88

Blended rate: Level 4$153.9

Blended rate: Level 5$224.58

Adj Other0.05

How to Use This Calculator

Enter Total visits per month and distribute the E&M visit mix across % Level 3 (99213), % Level 4 (99214), and % Level 5 (99215).
Set % Other CPT codes and Avg other CPT reimbursement for procedures, injections, or ancillary services.
Enter Commercial payer multiplier (typically 1.2–1.8×) and Commercial payer mix (%) to blend Medicare and commercial rates.
Set Coding accuracy (%) — at 85% accuracy, the Coding improvement opportunity output shows recoverable revenue.
Review Monthly expected revenue and Annual expected revenue as your baseline projection for budgeting.
Use Annual wRVUs generated to compare provider productivity against MGMA specialty benchmarks.

Ad Placeholder