# CPT 99203: New patient office/outpatient visit, low medical decision making

Medicare CPT 99203 pays $117.57 in a non-facility setting and $71.48 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $106.69 in Arkansas to $145.71 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/99203-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, General Surgery, Hematology & Oncology, Infectious Disease, Internal Medicine, Methadone Clinic, Neurological Surgery, Neurology, Obstetrics & Gynecology, Ophthalmology, Optometrist, Orthopaedic Surgery, 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 | $117.57 |
| National facility | $71.48 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $145.71 | $96.62 |
| District of Columbia | $131.52 | $77.23 |
| New York | $128.82 | $77.40 |
| New Jersey | $128.18 | $76.27 |
| California | $127.81 | $73.27 |
| Washington | $126.36 | $73.81 |
| Massachusetts | $125.52 | $73.73 |
| Connecticut | $124.29 | $74.65 |
| Hawaii | $123.37 | $70.97 |
| Florida | $122.82 | $76.58 |
| Maryland | $121.18 | $73.13 |
| Colorado | $120.80 | $71.76 |
| Illinois | $120.65 | $76.10 |
| Rhode Island | $119.95 | $72.33 |
| Oregon | $119.67 | $71.11 |
| New Hampshire | $119.31 | $71.33 |
| Puerto Rico | $118.14 | $71.54 |
| Virgin Islands | $118.14 | $71.54 |
| Montana | $117.56 | $71.47 |
| Pennsylvania | $117.22 | $72.07 |
| Nevada | $116.74 | $70.60 |
| Delaware | $116.59 | $71.05 |
| Texas | $116.57 | $71.20 |
| Wyoming | $116.18 | $70.09 |
| Michigan | $116.17 | $72.88 |
| Georgia | $116.00 | $72.03 |
| Minnesota | $115.51 | $68.08 |
| Virginia | $115.00 | $69.69 |
| Arizona | $114.98 | $70.31 |
| North Dakota | $114.40 | $68.30 |
| Vermont | $114.34 | $68.71 |
| South Dakota | $114.02 | $67.93 |
| New Mexico | $113.77 | $71.50 |
| Utah | $113.50 | $70.17 |
| Maine | $112.96 | $68.91 |
| Louisiana | $112.71 | $70.63 |
| Missouri | $112.65 | $70.35 |
| Ohio | $112.50 | $70.42 |
| South Carolina | $112.30 | $69.71 |
| West Virginia | $112.17 | $72.12 |
| North Carolina | $111.70 | $68.70 |
| Wisconsin | $111.40 | $67.25 |
| Kentucky | $110.59 | $69.61 |
| Indiana | $110.53 | $67.80 |
| Oklahoma | $110.09 | $68.93 |
| Idaho | $110.05 | $67.65 |
| Tennessee | $109.75 | $67.85 |
| Nebraska | $109.72 | $67.18 |
| Iowa | $109.35 | $67.18 |
| Kansas | $109.28 | $67.61 |
| Mississippi | $108.01 | $68.32 |
| Alabama | $107.90 | $67.57 |
| Arkansas | $106.69 | $67.10 |

## Related codes

- 99202: New patient office/outpatient visit, straightforward medical decision making — https://www.med-reveal.com/rates/99202-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 99203 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