# CPT 99387: Initial preventive medicine visit, new patient, 65 years and older

Medicare CPT 99387 pays $168.67 in a non-facility setting and $106.88 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $154.83 in Arkansas to $213.21 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/99387-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Clinic/Center, Evaluation, Family Medicine, Internal Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $168.67 |
| National facility | $106.88 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $213.21 | $147.41 |
| District of Columbia | $188.00 | $115.21 |
| California | $183.85 | $110.73 |
| New York | $183.78 | $114.85 |
| New Jersey | $183.48 | $113.90 |
| Washington | $181.35 | $110.91 |
| Massachusetts | $180.08 | $110.66 |
| Connecticut | $177.61 | $111.06 |
| Hawaii | $177.36 | $107.10 |
| Florida | $174.00 | $112.00 |
| Colorado | $173.62 | $107.87 |
| Maryland | $173.57 | $109.15 |
| Rhode Island | $172.32 | $108.49 |
| Oregon | $172.14 | $107.04 |
| New Hampshire | $171.28 | $106.95 |
| Illinois | $171.14 | $111.44 |
| Puerto Rico | $169.47 | $107.00 |
| Virgin Islands | $169.47 | $107.00 |
| Montana | $168.66 | $106.87 |
| Pennsylvania | $168.16 | $107.64 |
| Nevada | $167.86 | $106.01 |
| Delaware | $167.59 | $106.54 |
| Texas | $167.52 | $106.68 |
| Wyoming | $167.29 | $105.49 |
| Minnesota | $167.23 | $103.64 |
| Georgia | $166.18 | $107.23 |
| Michigan | $165.99 | $107.96 |
| Virginia | $165.75 | $105.01 |
| North Dakota | $165.50 | $103.71 |
| Arizona | $165.43 | $105.55 |
| Vermont | $165.24 | $104.06 |
| South Dakota | $165.13 | $103.33 |
| Utah | $163.34 | $105.26 |
| Maine | $163.13 | $104.09 |
| New Mexico | $163.12 | $106.46 |
| Missouri | $162.02 | $105.31 |
| Louisiana | $161.98 | $105.57 |
| South Carolina | $161.81 | $104.71 |
| Ohio | $161.77 | $105.36 |
| Wisconsin | $161.62 | $102.43 |
| North Carolina | $161.40 | $103.75 |
| West Virginia | $160.52 | $106.82 |
| Indiana | $160.10 | $102.82 |
| Idaho | $159.47 | $102.62 |
| Kentucky | $159.36 | $104.43 |
| Nebraska | $159.20 | $102.17 |
| Oklahoma | $158.94 | $103.76 |
| Tennessee | $158.94 | $102.77 |
| Iowa | $158.67 | $102.13 |
| Kansas | $158.36 | $102.50 |
| Alabama | $156.38 | $102.31 |
| Mississippi | $156.18 | $102.98 |
| Arkansas | $154.83 | $101.75 |

## 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
- 99386: Initial preventive medicine visit, new patient, 40-64 years — https://www.med-reveal.com/rates/99386-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 99387 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