# CPT 99284: Emergency department visit, moderate medical decision making

Medicare CPT 99284 pays $118.24 in a non-facility setting and $118.24 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $109.52 in Wisconsin to $159.73 in Alaska, a 46% spread.

Web page: https://www.med-reveal.com/rates/99284-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Emergency Medicine, Evaluation, General Acute Care Hospital, Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $118.24 |
| National facility | $118.24 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $159.73 | $159.73 |
| Florida | $129.36 | $129.36 |
| Illinois | $128.70 | $128.70 |
| New York | $128.52 | $128.52 |
| District of Columbia | $127.18 | $127.18 |
| New Jersey | $125.81 | $125.81 |
| Connecticut | $123.68 | $123.68 |
| Michigan | $122.09 | $122.09 |
| West Virginia | $121.31 | $121.31 |
| Maryland | $120.98 | $120.98 |
| Massachusetts | $120.88 | $120.88 |
| Washington | $120.76 | $120.76 |
| Georgia | $119.98 | $119.98 |
| Pennsylvania | $119.56 | $119.56 |
| New Mexico | $119.34 | $119.34 |
| Rhode Island | $119.21 | $119.21 |
| California | $118.92 | $118.92 |
| Puerto Rico | $118.23 | $118.23 |
| Virgin Islands | $118.23 | $118.23 |
| Montana | $118.22 | $118.22 |
| Colorado | $117.74 | $117.74 |
| Texas | $117.68 | $117.68 |
| Louisiana | $117.48 | $117.48 |
| New Hampshire | $117.39 | $117.39 |
| Delaware | $117.34 | $117.34 |
| Ohio | $117.03 | $117.03 |
| Missouri | $116.82 | $116.82 |
| Oregon | $116.54 | $116.54 |
| Nevada | $116.30 | $116.30 |
| Utah | $116.14 | $116.14 |
| Arizona | $116.09 | $116.09 |
| Kentucky | $115.58 | $115.58 |
| Hawaii | $115.38 | $115.38 |
| South Carolina | $115.34 | $115.34 |
| Wyoming | $115.20 | $115.20 |
| Virginia | $114.55 | $114.55 |
| Oklahoma | $114.02 | $114.02 |
| Maine | $113.21 | $113.21 |
| Mississippi | $113.10 | $113.10 |
| North Carolina | $113.01 | $113.01 |
| Vermont | $112.31 | $112.31 |
| Tennessee | $111.46 | $111.46 |
| North Dakota | $111.30 | $111.30 |
| Alabama | $111.29 | $111.29 |
| Indiana | $111.13 | $111.13 |
| Kansas | $111.00 | $111.00 |
| Idaho | $110.88 | $110.88 |
| South Dakota | $110.48 | $110.48 |
| Arkansas | $110.45 | $110.45 |
| Minnesota | $110.45 | $110.45 |
| Iowa | $109.91 | $109.91 |
| Nebraska | $109.81 | $109.81 |
| Wisconsin | $109.52 | $109.52 |

## Related codes

- 99281: Emergency department visit, minimal problem, may not require physician presence — https://www.med-reveal.com/rates/99281-cpt-fee-schedule
- 99282: Emergency department visit, straightforward medical decision making — https://www.med-reveal.com/rates/99282-cpt-fee-schedule
- 99283: Emergency department visit, low medical decision making — https://www.med-reveal.com/rates/99283-cpt-fee-schedule
- 99285: Emergency department visit, high medical decision making — https://www.med-reveal.com/rates/99285-cpt-fee-schedule

Commercial negotiated rates for 99284 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