# CPT 99385: Initial preventive medicine visit, new patient, 18-39 years

Medicare CPT 99385 pays $134.61 in a non-facility setting and $82.17 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $123.29 in Arkansas to $169.19 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/99385-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Clinic/Center, Evaluation, Family Medicine, Internal Medicine, Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $134.61 |
| National facility | $82.17 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $169.19 | $113.34 |
| District of Columbia | $150.35 | $88.58 |
| California | $147.25 | $85.20 |
| New York | $146.77 | $88.27 |
| New Jersey | $146.61 | $87.57 |
| Washington | $145.08 | $85.31 |
| Massachusetts | $144.01 | $85.10 |
| Hawaii | $142.02 | $82.40 |
| Connecticut | $141.85 | $85.37 |
| Colorado | $138.75 | $82.96 |
| Florida | $138.62 | $86.01 |
| Maryland | $138.57 | $83.91 |
| Rhode Island | $137.58 | $83.41 |
| Oregon | $137.57 | $82.32 |
| New Hampshire | $136.83 | $82.24 |
| Illinois | $136.24 | $85.57 |
| Puerto Rico | $135.28 | $82.26 |
| Virgin Islands | $135.28 | $82.26 |
| Montana | $134.60 | $82.16 |
| Pennsylvania | $134.10 | $82.74 |
| Nevada | $134.00 | $81.51 |
| Delaware | $133.72 | $81.91 |
| Minnesota | $133.71 | $79.75 |
| Texas | $133.64 | $82.02 |
| Wyoming | $133.56 | $81.12 |
| Georgia | $132.44 | $82.41 |
| Virginia | $132.30 | $80.75 |
| North Dakota | $132.22 | $79.79 |
| Michigan | $132.19 | $82.94 |
| Arizona | $131.97 | $81.15 |
| Vermont | $131.96 | $80.05 |
| South Dakota | $131.94 | $79.50 |
| Utah | $130.21 | $80.92 |
| Maine | $130.15 | $80.05 |
| New Mexico | $129.89 | $81.81 |
| Missouri | $129.07 | $80.95 |
| Wisconsin | $129.04 | $78.80 |
| Louisiana | $129.01 | $81.13 |
| South Carolina | $128.95 | $80.50 |
| Ohio | $128.85 | $80.98 |
| North Carolina | $128.71 | $79.78 |
| Indiana | $127.69 | $79.08 |
| West Virginia | $127.63 | $82.06 |
| Idaho | $127.18 | $78.93 |
| Nebraska | $126.99 | $78.59 |
| Kentucky | $126.89 | $80.27 |
| Tennessee | $126.70 | $79.03 |
| Oklahoma | $126.60 | $79.77 |
| Iowa | $126.54 | $78.56 |
| Kansas | $126.24 | $78.83 |
| Alabama | $124.56 | $78.67 |
| Mississippi | $124.32 | $79.17 |
| Arkansas | $123.29 | $78.24 |

## Related codes

- 99381: Initial preventive medicine visit, new patient, infant (under 1 year) — https://www.med-reveal.com/rates/99381-cpt-fee-schedule
- 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
- 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 99385 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