# CPT 99202: New patient office/outpatient visit, straightforward medical decision making

Medicare CPT 99202 pays $75.15 in a non-facility setting and $41.08 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $68.13 in Arkansas to $92.35 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/99202-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Allergy & Immunology, Cardiovascular Disease, Child & Adolescent Psychiatry, Clinic/Center, Clinical Genetics (M.D.), Dermatology, Endocrinology, Evaluation, Family Medicine, Gastroenterology, Hematology & Oncology, Infectious Disease, Internal Medicine, Methadone Clinic, Neurological Surgery, Neurology, Obstetrics & Gynecology, Ophthalmology, Optometrist, Otolaryngology, Pain Medicine, Pediatrics, Plastic Surgery, Psychiatry & Neurology, Pulmonary Disease, Radiology, Rheumatology, Sleep Medicine, Sports Medicine, Thoracic Surgery (Cardiothoracic Vascular Surgery), Urology, Vascular Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $75.15 |
| National facility | $41.08 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $92.35 | $56.06 |
| District of Columbia | $84.53 | $44.39 |
| California | $82.85 | $42.53 |
| New York | $82.29 | $44.28 |
| New Jersey | $82.21 | $43.85 |
| Washington | $81.48 | $42.65 |
| Massachusetts | $80.83 | $42.55 |
| Hawaii | $79.89 | $41.15 |
| Connecticut | $79.48 | $42.79 |
| Colorado | $77.68 | $41.44 |
| Maryland | $77.51 | $42.00 |
| Florida | $77.50 | $43.32 |
| Oregon | $76.99 | $41.10 |
| Rhode Island | $76.87 | $41.67 |
| New Hampshire | $76.57 | $41.11 |
| Illinois | $75.98 | $43.06 |
| Puerto Rico | $75.58 | $41.13 |
| Virgin Islands | $75.58 | $41.13 |
| Montana | $75.15 | $41.08 |
| Nevada | $74.80 | $40.70 |
| Pennsylvania | $74.74 | $41.36 |
| Minnesota | $74.72 | $39.66 |
| Delaware | $74.57 | $40.91 |
| Wyoming | $74.54 | $40.48 |
| Texas | $74.51 | $40.97 |
| North Dakota | $73.76 | $39.69 |
| Virginia | $73.75 | $40.27 |
| Georgia | $73.74 | $41.24 |
| South Dakota | $73.60 | $39.53 |
| Vermont | $73.58 | $39.85 |
| Michigan | $73.56 | $41.57 |
| Arizona | $73.52 | $40.51 |
| Maine | $72.42 | $39.86 |
| Utah | $72.41 | $40.38 |
| New Mexico | $72.16 | $40.92 |
| Wisconsin | $71.78 | $39.14 |
| Missouri | $71.68 | $40.41 |
| Louisiana | $71.63 | $40.53 |
| South Carolina | $71.63 | $40.15 |
| Ohio | $71.54 | $40.43 |
| North Carolina | $71.51 | $39.72 |
| Indiana | $70.90 | $39.32 |
| West Virginia | $70.69 | $41.08 |
| Idaho | $70.58 | $39.24 |
| Nebraska | $70.48 | $39.04 |
| Kentucky | $70.32 | $40.03 |
| Tennessee | $70.27 | $39.30 |
| Iowa | $70.19 | $39.02 |
| Oklahoma | $70.16 | $39.74 |
| Kansas | $69.98 | $39.19 |
| Alabama | $68.92 | $39.11 |
| Mississippi | $68.74 | $39.41 |
| Arkansas | $68.13 | $38.87 |

## Related codes

- 99203: New patient office/outpatient visit, low medical decision making — https://www.med-reveal.com/rates/99203-cpt-fee-schedule
- 99204: New patient office/outpatient visit, moderate medical decision making — https://www.med-reveal.com/rates/99204-cpt-fee-schedule
- 99205: New patient office/outpatient visit, high medical decision making — https://www.med-reveal.com/rates/99205-cpt-fee-schedule

Commercial negotiated rates for 99202 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