How Much Does Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month Cost on Medicare?

Based on the data, CPT 99490 shows a 1.9x variation in pricing across states — moderate variation by Medicare standards.

Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.