# CPT 99381: Initial preventive medicine visit, new patient, infant (under 1 year)

Medicare CPT 99381 pays $113.56 in a non-facility setting and $63.80 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $103.70 in Arkansas to $141.37 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/99381-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Clinic/Center, Evaluation, Family Medicine, Internal Medicine, Pediatrics

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $113.56 |
| National facility | $63.80 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $141.37 | $88.36 |
| District of Columbia | $127.39 | $68.77 |
| California | $125.28 | $66.39 |
| New Jersey | $124.03 | $67.99 |
| New York | $123.92 | $68.41 |
| Washington | $123.09 | $66.35 |
| Massachusetts | $122.08 | $66.16 |
| Hawaii | $120.77 | $64.18 |
| Connecticut | $119.81 | $66.21 |
| Colorado | $117.47 | $64.52 |
| Maryland | $117.01 | $65.13 |
| Oregon | $116.48 | $64.05 |
| Florida | $116.29 | $66.36 |
| Rhode Island | $116.23 | $64.82 |
| New Hampshire | $115.72 | $63.91 |
| Puerto Rico | $114.19 | $63.88 |
| Virgin Islands | $114.19 | $63.88 |
| Illinois | $114.12 | $66.03 |
| Montana | $113.56 | $63.79 |
| Minnesota | $113.44 | $62.23 |
| Nevada | $113.18 | $63.36 |
| Pennsylvania | $112.95 | $64.21 |
| Wyoming | $112.87 | $63.10 |
| Delaware | $112.81 | $63.64 |
| Texas | $112.71 | $63.71 |
| North Dakota | $111.98 | $62.21 |
| South Dakota | $111.79 | $62.02 |
| Virginia | $111.74 | $62.82 |
| Vermont | $111.64 | $62.37 |
| Georgia | $111.37 | $63.89 |
| Arizona | $111.29 | $63.07 |
| Michigan | $110.95 | $64.21 |
| Maine | $109.86 | $62.31 |
| Utah | $109.64 | $62.86 |
| Wisconsin | $109.16 | $61.48 |
| New Mexico | $109.05 | $63.42 |
| South Carolina | $108.54 | $62.56 |
| North Carolina | $108.53 | $62.09 |
| Missouri | $108.51 | $62.85 |
| Louisiana | $108.40 | $62.97 |
| Ohio | $108.30 | $62.86 |
| Indiana | $107.75 | $61.62 |
| Idaho | $107.29 | $61.51 |
| Nebraska | $107.22 | $61.28 |
| Tennessee | $106.79 | $61.56 |
| Iowa | $106.78 | $61.25 |
| West Virginia | $106.75 | $63.50 |
| Kentucky | $106.59 | $62.35 |
| Oklahoma | $106.46 | $62.02 |
| Kansas | $106.40 | $61.41 |
| Alabama | $104.80 | $61.26 |
| Mississippi | $104.42 | $61.57 |
| Arkansas | $103.70 | $60.95 |

## Related codes

- 99382: Initial preventive medicine visit, new patient, early childhood (1-4 years) — https://www.med-reveal.com/rates/99382-cpt-fee-schedule
- 99383: Initial preventive medicine visit, new patient, late childhood (5-11 years) — https://www.med-reveal.com/rates/99383-cpt-fee-schedule
- 99384: Initial preventive medicine visit, new patient, adolescent (12-17 years) — https://www.med-reveal.com/rates/99384-cpt-fee-schedule
- 99385: Initial preventive medicine visit, new patient, 18-39 years — https://www.med-reveal.com/rates/99385-cpt-fee-schedule
- 99386: Initial preventive medicine visit, new patient, 40-64 years — https://www.med-reveal.com/rates/99386-cpt-fee-schedule
- 99387: Initial preventive medicine visit, new patient, 65 years and older — https://www.med-reveal.com/rates/99387-cpt-fee-schedule
- 99391: Periodic preventive medicine visit, established patient, infant (under 1 year) — https://www.med-reveal.com/rates/99391-cpt-fee-schedule
- 99392: Periodic preventive medicine visit, established patient, early childhood (1-4 years) — https://www.med-reveal.com/rates/99392-cpt-fee-schedule

Commercial negotiated rates for 99381 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