# CPT 99386: Initial preventive medicine visit, new patient, 40-64 years

Medicare CPT 99386 pays $155.65 in a non-facility setting and $99.87 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $142.95 in Arkansas to $197.04 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/99386-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Clinic/Center, Evaluation, Family Medicine, Internal Medicine, Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $155.65 |
| National facility | $99.87 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $197.04 | $137.64 |
| District of Columbia | $173.38 | $107.67 |
| New York | $169.56 | $107.33 |
| California | $169.49 | $103.49 |
| New Jersey | $169.25 | $106.44 |
| Washington | $167.24 | $103.65 |
| Massachusetts | $166.08 | $103.41 |
| Connecticut | $163.86 | $103.79 |
| Hawaii | $163.51 | $100.09 |
| Florida | $160.63 | $104.67 |
| Colorado | $160.14 | $100.80 |
| Maryland | $160.14 | $101.99 |
| Rhode Island | $158.99 | $101.37 |
| Oregon | $158.78 | $100.02 |
| Illinois | $158.03 | $104.13 |
| New Hampshire | $158.01 | $99.94 |
| Puerto Rico | $156.37 | $99.98 |
| Virgin Islands | $156.37 | $99.98 |
| Montana | $155.64 | $99.86 |
| Pennsylvania | $155.20 | $100.57 |
| Nevada | $154.88 | $99.05 |
| Delaware | $154.66 | $99.55 |
| Texas | $154.59 | $99.68 |
| Wyoming | $154.35 | $98.57 |
| Minnesota | $154.23 | $96.84 |
| Georgia | $153.40 | $100.19 |
| Michigan | $153.25 | $100.87 |
| Virginia | $152.94 | $98.11 |
| Arizona | $152.67 | $98.62 |
| North Dakota | $152.67 | $96.89 |
| Vermont | $152.45 | $97.22 |
| South Dakota | $152.32 | $96.54 |
| Utah | $150.77 | $98.34 |
| New Mexico | $150.61 | $99.46 |
| Maine | $150.54 | $97.24 |
| Missouri | $149.57 | $98.39 |
| Louisiana | $149.55 | $98.63 |
| South Carolina | $149.36 | $97.82 |
| Ohio | $149.35 | $98.43 |
| Wisconsin | $149.12 | $95.69 |
| North Carolina | $148.96 | $96.92 |
| West Virginia | $148.27 | $99.80 |
| Indiana | $147.76 | $96.05 |
| Idaho | $147.18 | $95.87 |
| Kentucky | $147.14 | $97.55 |
| Nebraska | $146.93 | $95.44 |
| Oklahoma | $146.74 | $96.93 |
| Tennessee | $146.70 | $96.00 |
| Iowa | $146.44 | $95.40 |
| Kansas | $146.17 | $95.75 |
| Alabama | $144.37 | $95.56 |
| Mississippi | $144.22 | $96.19 |
| Arkansas | $142.95 | $95.04 |

## 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
- 99385: Initial preventive medicine visit, new patient, 18-39 years — https://www.med-reveal.com/rates/99385-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 99386 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