# CPT 99391: Periodic preventive medicine visit, established patient, infant (under 1 year)

Medicare CPT 99391 pays $102.54 in a non-facility setting and $58.45 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $93.62 in Arkansas to $127.74 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/99391-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Clinic/Center, Evaluation, Family Medicine, Internal Medicine, Pediatrics

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $102.54 |
| National facility | $58.45 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $127.74 | $80.78 |
| District of Columbia | $114.95 | $63.01 |
| California | $112.87 | $60.70 |
| New Jersey | $111.94 | $62.29 |
| New York | $111.93 | $62.74 |
| Washington | $110.99 | $60.74 |
| Massachusetts | $110.11 | $60.58 |
| Hawaii | $108.83 | $58.70 |
| Connecticut | $108.18 | $60.70 |
| Colorado | $105.97 | $59.06 |
| Maryland | $105.65 | $59.68 |
| Florida | $105.25 | $61.01 |
| Oregon | $105.07 | $58.61 |
| Rhode Island | $104.91 | $59.36 |
| New Hampshire | $104.43 | $58.53 |
| Illinois | $103.31 | $60.71 |
| Puerto Rico | $103.10 | $58.52 |
| Virgin Islands | $103.10 | $58.52 |
| Montana | $102.54 | $58.45 |
| Minnesota | $102.23 | $56.86 |
| Nevada | $102.15 | $58.02 |
| Pennsylvania | $102.03 | $58.84 |
| Delaware | $101.85 | $58.29 |
| Wyoming | $101.85 | $57.76 |
| Texas | $101.76 | $58.36 |
| North Dakota | $100.95 | $56.86 |
| Virginia | $100.84 | $57.50 |
| South Dakota | $100.77 | $56.68 |
| Vermont | $100.68 | $57.03 |
| Georgia | $100.65 | $58.59 |
| Arizona | $100.48 | $57.76 |
| Michigan | $100.33 | $58.93 |
| Maine | $99.14 | $57.01 |
| Utah | $99.02 | $57.58 |
| New Mexico | $98.59 | $58.16 |
| Wisconsin | $98.42 | $56.18 |
| Missouri | $98.04 | $57.59 |
| South Carolina | $98.03 | $57.29 |
| Louisiana | $97.96 | $57.71 |
| North Carolina | $97.95 | $56.82 |
| Ohio | $97.85 | $57.60 |
| Indiana | $97.22 | $56.35 |
| Idaho | $96.80 | $56.24 |
| Nebraska | $96.71 | $56.02 |
| West Virginia | $96.60 | $58.29 |
| Tennessee | $96.38 | $56.30 |
| Iowa | $96.33 | $55.99 |
| Kentucky | $96.31 | $57.11 |
| Oklahoma | $96.16 | $56.78 |
| Kansas | $96.02 | $56.16 |
| Alabama | $94.62 | $56.04 |
| Mississippi | $94.32 | $56.36 |
| Arkansas | $93.62 | $55.74 |

## 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
- 99387: Initial preventive medicine visit, new patient, 65 years and older — https://www.med-reveal.com/rates/99387-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 99391 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