# CPT 99342: Home or residence visit, new patient, low medical decision making

Medicare CPT 99342 pays $78.83 in a non-facility setting and $78.83 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $74.68 in Arkansas to $106.72 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/99342-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $78.83 |
| National facility | $78.83 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $106.72 | $106.72 |
| District of Columbia | $85.87 | $85.87 |
| New York | $84.75 | $84.75 |
| New Jersey | $84.55 | $84.55 |
| California | $83.65 | $83.65 |
| Washington | $83.07 | $83.07 |
| Massachusetts | $82.68 | $82.68 |
| Connecticut | $82.07 | $82.07 |
| Florida | $81.11 | $81.11 |
| Hawaii | $80.77 | $80.77 |
| Maryland | $80.63 | $80.63 |
| Illinois | $80.43 | $80.43 |
| Colorado | $80.34 | $80.34 |
| Rhode Island | $80.33 | $80.33 |
| Oregon | $79.77 | $79.77 |
| New Hampshire | $79.41 | $79.41 |
| Pennsylvania | $79.05 | $79.05 |
| Puerto Rico | $79.03 | $79.03 |
| Virgin Islands | $79.03 | $79.03 |
| Montana | $78.82 | $78.82 |
| Texas | $78.63 | $78.63 |
| Delaware | $78.61 | $78.61 |
| Michigan | $78.47 | $78.47 |
| Nevada | $78.46 | $78.46 |
| Georgia | $78.38 | $78.38 |
| Wyoming | $78.22 | $78.22 |
| Arizona | $77.83 | $77.83 |
| Minnesota | $77.80 | $77.80 |
| Virginia | $77.78 | $77.78 |
| New Mexico | $77.52 | $77.52 |
| Vermont | $77.46 | $77.46 |
| North Dakota | $77.44 | $77.44 |
| Utah | $77.31 | $77.31 |
| South Dakota | $77.27 | $77.27 |
| Louisiana | $77.07 | $77.07 |
| Missouri | $77.03 | $77.03 |
| West Virginia | $77.03 | $77.03 |
| Maine | $77.00 | $77.00 |
| Ohio | $76.99 | $76.99 |
| South Carolina | $76.85 | $76.85 |
| North Carolina | $76.55 | $76.55 |
| Wisconsin | $76.31 | $76.31 |
| Kentucky | $76.25 | $76.25 |
| Indiana | $76.06 | $76.06 |
| Oklahoma | $76.02 | $76.02 |
| Idaho | $75.88 | $75.88 |
| Tennessee | $75.80 | $75.80 |
| Nebraska | $75.73 | $75.73 |
| Kansas | $75.61 | $75.61 |
| Iowa | $75.60 | $75.60 |
| Mississippi | $75.24 | $75.24 |
| Alabama | $75.14 | $75.14 |
| Arkansas | $74.68 | $74.68 |

## Related codes

- 99341: Home or residence visit, new patient, straightforward medical decision making — https://www.med-reveal.com/rates/99341-cpt-fee-schedule
- 99344: Home or residence visit, new patient, moderate medical decision making — https://www.med-reveal.com/rates/99344-cpt-fee-schedule
- 99345: Home or residence visit, new patient, high medical decision making — https://www.med-reveal.com/rates/99345-cpt-fee-schedule
- 99347: Home or residence visit, established patient, straightforward medical decision making — https://www.med-reveal.com/rates/99347-cpt-fee-schedule
- 99348: Home or residence visit, established patient, low medical decision making — https://www.med-reveal.com/rates/99348-cpt-fee-schedule
- 99349: Home or residence visit, established patient, moderate medical decision making — https://www.med-reveal.com/rates/99349-cpt-fee-schedule
- 99350: Home or residence visit, established patient, high medical decision making — https://www.med-reveal.com/rates/99350-cpt-fee-schedule

Commercial negotiated rates for 99342 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