# CPT 99374: Supvj Pt Home Health Agency Mo 15-29 Minutes

Medicare CPT 99374 pays $70.81 in a non-facility setting and $47.10 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $65.20 in Arkansas to $90.19 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/99374-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $70.81 |
| National facility | $47.10 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $90.19 | $64.94 |
| District of Columbia | $78.71 | $50.77 |
| New York | $77.06 | $50.61 |
| New Jersey | $76.90 | $50.19 |
| California | $76.87 | $48.81 |
| Washington | $75.91 | $48.88 |
| Massachusetts | $75.41 | $48.77 |
| Connecticut | $74.48 | $48.94 |
| Hawaii | $74.17 | $47.21 |
| Florida | $73.13 | $49.34 |
| Maryland | $72.82 | $48.10 |
| Colorado | $72.77 | $47.54 |
| Rhode Island | $72.30 | $47.81 |
| Oregon | $72.16 | $47.17 |
| Illinois | $72.00 | $49.08 |
| New Hampshire | $71.82 | $47.13 |
| Puerto Rico | $71.12 | $47.15 |
| Virgin Islands | $71.12 | $47.15 |
| Montana | $70.81 | $47.09 |
| Pennsylvania | $70.65 | $47.43 |
| Nevada | $70.45 | $46.71 |
| Delaware | $70.38 | $46.95 |
| Texas | $70.35 | $47.01 |
| Wyoming | $70.20 | $46.49 |
| Minnesota | $70.08 | $45.68 |
| Georgia | $69.87 | $47.24 |
| Michigan | $69.82 | $47.56 |
| Virginia | $69.58 | $46.27 |
| Arizona | $69.49 | $46.51 |
| North Dakota | $69.42 | $45.71 |
| Vermont | $69.34 | $45.86 |
| South Dakota | $69.26 | $45.54 |
| Utah | $68.67 | $46.38 |
| New Mexico | $68.65 | $46.90 |
| Maine | $68.53 | $45.86 |
| Louisiana | $68.16 | $46.51 |
| Missouri | $68.16 | $46.40 |
| Ohio | $68.07 | $46.42 |
| South Carolina | $68.05 | $46.14 |
| Wisconsin | $67.86 | $45.14 |
| North Carolina | $67.84 | $45.71 |
| West Virginia | $67.66 | $47.05 |
| Indiana | $67.29 | $45.31 |
| Kentucky | $67.09 | $46.01 |
| Idaho | $67.04 | $45.22 |
| Nebraska | $66.91 | $45.02 |
| Oklahoma | $66.89 | $45.72 |
| Tennessee | $66.84 | $45.28 |
| Iowa | $66.70 | $45.00 |
| Kansas | $66.60 | $45.17 |
| Alabama | $65.83 | $45.08 |
| Mississippi | $65.79 | $45.37 |
| Arkansas | $65.20 | $44.83 |

## Related codes

- 99201: New Patient Office Visit: Coverage and Documentation Requirements — https://www.med-reveal.com/rates/99201-cpt-fee-schedule
- 99241: Office consultation for a new or established patient that requires these three key components: a problem-focused history; a problem-focused examination; and straightforward medical decision-making — https://www.med-reveal.com/rates/99241-cpt-fee-schedule
- 99251: Inpatient consultation for a new or established patient which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. — https://www.med-reveal.com/rates/99251-cpt-fee-schedule
- 99288: Phys/qhp Direction Emergency Medical Systems — https://www.med-reveal.com/rates/99288-cpt-fee-schedule
- 99354: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99354-cpt-fee-schedule
- 99355: Prolonged Service With Direct Patient Contact — https://www.med-reveal.com/rates/99355-cpt-fee-schedule
- 99358: Prolng E/m Svc Before&/after Dir Pt Care 1st Hr — https://www.med-reveal.com/rates/99358-cpt-fee-schedule
- 99359: Prolng E/m Before&/after Dir Care Ea 30 Minutes — https://www.med-reveal.com/rates/99359-cpt-fee-schedule

Commercial negotiated rates for 99374 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