Skip to Main Content
Care calculator » 

What is a level 1 office visit?

A level 1 office visit refers to the evaluation and management (E/M) code that is reported to your health insurance carrier. This code is 99211. Considered a billing code, the level has to do with the amount of money your provider will be reimbursed for the visit. Level 1 visits are the lowest level. The 99211 code is commonly used for visits that involve patient education, follow-up of ongoing problems, and medication checks. It’s important to remember that if your provider bills a 99211 code, you will still need to pay any co-pays your insurance requires.

* Savings estimate based on a study of more than 1 billion claims comparing self-pay (or cash pay) prices of a frequency-weighted market basket of procedures to insurer-negotiated rates for the same. Claims were collected between July 2017 and July 2019. R.Lawrence Van Horn, Arthur Laffer, Robert L.Metcalf. 2019. The Transformative Potential for Price Transparency in Healthcare: Benefits for Consumers and Providers. Health Management Policy and Innovation, Volume 4, Issue 3.

Sidecar Health offers and administers a variety of ACA compliant major medical plans. Coverage and plan options vary and may not be available in all states.

Your actual costs may be higher or lower than these cost estimates. Check with your provider and health plan details to confirm the costs that you may be charged for a service or procedure. You are responsible for costs that are not covered and for getting any pre-authorizations or referrals required by your health plan. Neither payments nor benefits are guaranteed.

The site is not a substitute for medical or healthcare advice and does not serve as a recommendation for a particular provider or type of medical or healthcare.