# CPT 98971: Qnhp Ol Digital Assmt&mgmt Est Pt <7 D 11-20 Min

Medicare CPT 98971 pays $23.05 in a non-facility setting and $19.04 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $21.64 in Arkansas to $30.59 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/98971-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Clinical Neuropsychologist, Counselor, Marriage & Family Therapist, Methadone Clinic, Psychoanalyst, Social Worker

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $23.05 |
| National facility | $19.04 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $30.59 | $26.33 |
| District of Columbia | $25.28 | $20.56 |
| New York | $24.87 | $20.40 |
| New Jersey | $24.83 | $20.32 |
| California | $24.67 | $19.93 |
| Washington | $24.45 | $19.88 |
| Massachusetts | $24.31 | $19.81 |
| Connecticut | $24.07 | $19.76 |
| Hawaii | $23.82 | $19.26 |
| Florida | $23.70 | $19.68 |
| Maryland | $23.62 | $19.44 |
| Colorado | $23.57 | $19.30 |
| Rhode Island | $23.51 | $19.37 |
| Illinois | $23.45 | $19.57 |
| Oregon | $23.39 | $19.17 |
| New Hampshire | $23.28 | $19.11 |
| Puerto Rico | $23.12 | $19.07 |
| Virgin Islands | $23.12 | $19.07 |
| Pennsylvania | $23.07 | $19.14 |
| Montana | $23.05 | $19.04 |
| Delaware | $22.96 | $19.00 |
| Texas | $22.96 | $19.01 |
| Nevada | $22.94 | $18.93 |
| Wyoming | $22.87 | $18.86 |
| Georgia | $22.85 | $19.02 |
| Michigan | $22.85 | $19.09 |
| Minnesota | $22.80 | $18.67 |
| Virginia | $22.72 | $18.78 |
| Arizona | $22.71 | $18.83 |
| North Dakota | $22.65 | $18.64 |
| Vermont | $22.64 | $18.67 |
| South Dakota | $22.60 | $18.59 |
| New Mexico | $22.54 | $18.87 |
| Utah | $22.52 | $18.75 |
| Maine | $22.46 | $18.63 |
| Louisiana | $22.41 | $18.75 |
| Missouri | $22.40 | $18.72 |
| Ohio | $22.38 | $18.72 |
| South Carolina | $22.36 | $18.66 |
| West Virginia | $22.33 | $18.85 |
| North Carolina | $22.29 | $18.55 |
| Wisconsin | $22.26 | $18.42 |
| Indiana | $22.14 | $18.43 |
| Kentucky | $22.14 | $18.57 |
| Idaho | $22.08 | $18.39 |
| Oklahoma | $22.08 | $18.50 |
| Nebraska | $22.04 | $18.34 |
| Tennessee | $22.04 | $18.39 |
| Iowa | $21.99 | $18.32 |
| Kansas | $21.98 | $18.35 |
| Alabama | $21.80 | $18.29 |
| Mississippi | $21.80 | $18.35 |
| Arkansas | $21.64 | $18.20 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 98971 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules