# CPT 99214: Established patient office/outpatient visit, moderate medical decision making

Medicare CPT 99214 pays $135.61 in a non-facility setting and $84.50 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $123.92 in Arkansas to $169.92 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/99214-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, Rheumatology, Sleep Medicine, Sports Medicine, Thoracic Surgery (Cardiothoracic Vascular Surgery), Urology, Vascular Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $135.61 |
| National facility | $84.50 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $169.92 | $115.49 |
| District of Columbia | $151.49 | $91.29 |
| New York | $148.05 | $91.04 |
| California | $148.01 | $87.54 |
| New Jersey | $147.71 | $90.17 |
| Washington | $145.99 | $87.74 |
| Massachusetts | $144.95 | $87.54 |
| Connecticut | $143.02 | $87.98 |
| Hawaii | $142.79 | $84.69 |
| Florida | $140.26 | $88.99 |
| Maryland | $139.64 | $86.37 |
| Colorado | $139.63 | $85.25 |
| Rhode Island | $138.53 | $85.74 |
| Oregon | $138.40 | $84.57 |
| Illinois | $137.84 | $88.46 |
| New Hampshire | $137.76 | $84.56 |
| Puerto Rico | $136.27 | $84.61 |
| Virgin Islands | $136.27 | $84.61 |
| Montana | $135.60 | $84.49 |
| Pennsylvania | $135.14 | $85.08 |
| Nevada | $134.89 | $83.74 |
| Delaware | $134.65 | $84.16 |
| Texas | $134.59 | $84.28 |
| Wyoming | $134.39 | $83.29 |
| Minnesota | $134.25 | $81.67 |
| Georgia | $133.55 | $84.80 |
| Michigan | $133.44 | $85.45 |
| Virginia | $133.10 | $82.86 |
| Arizona | $132.86 | $83.34 |
| North Dakota | $132.83 | $81.73 |
| Vermont | $132.63 | $82.04 |
| South Dakota | $132.50 | $81.40 |
| Utah | $131.12 | $83.09 |
| New Mexico | $131.00 | $84.14 |
| Maine | $130.89 | $82.06 |
| Missouri | $130.04 | $83.14 |
| Louisiana | $130.02 | $83.35 |
| Ohio | $129.83 | $83.18 |
| South Carolina | $129.83 | $82.61 |
| Wisconsin | $129.57 | $80.61 |
| North Carolina | $129.44 | $81.76 |
| West Virginia | $128.87 | $84.46 |
| Indiana | $128.33 | $80.95 |
| Idaho | $127.80 | $80.78 |
| Kentucky | $127.80 | $82.36 |
| Nebraska | $127.56 | $80.39 |
| Oklahoma | $127.42 | $81.78 |
| Tennessee | $127.36 | $80.91 |
| Iowa | $127.11 | $80.35 |
| Kansas | $126.88 | $80.68 |
| Alabama | $125.23 | $80.51 |
| Mississippi | $125.10 | $81.10 |
| Arkansas | $123.92 | $80.02 |

## Related codes

- 99211: Established patient office/outpatient visit, may not require physician presence — https://www.med-reveal.com/rates/99211-cpt-fee-schedule
- 99212: Established patient office/outpatient visit, straightforward medical decision making — https://www.med-reveal.com/rates/99212-cpt-fee-schedule
- 99213: Established patient office/outpatient visit, low medical decision making — https://www.med-reveal.com/rates/99213-cpt-fee-schedule
- 99215: Established patient office/outpatient visit, high medical decision making — https://www.med-reveal.com/rates/99215-cpt-fee-schedule

Commercial negotiated rates for 99214 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