The Annual Preventive Visits / Physicals are often allowed by insurers once per calendar year. Some plans however may require Annual Preventive Visits / Physicals take place at least one year from the last physical. Annual Preventive Visits / Physicals are normally covered by most plans. Please check with your insurance if it is covered.
CPT codes for Annual Preventive Visits are often covered one hundred percent by a patient’s insurance carrier. Other associated preventive diagnostic testing (laboratory and ECG) and additional non-preventive services performed (such as management of chronic disease) may not be covered one hundred percent, and co-pays, co-insurance, deductibles, and/or other payments may apply.
| New Patient | Established Patient | Age | Description |
| 99385 | 99395 | 18 – 39 Years of Age | age and gender appropriate history examination counseling risk factor reduction interventions ordering appropriate immunizations, lab and diagnostic procedures |
| 99386 | 99396 | 40 – 64 Years of Age | |
| 99387 | 99396 | 65 Years of Age & Older |