# CPT 99393: Periodic preventive medicine visit, established patient, late childhood (5-11 years)

Medicare CPT 99393 pays $108.55 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 $99.39 in Arkansas to $136.03 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/99393-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Clinic/Center, Evaluation, Family Medicine, Internal Medicine, Pediatrics

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $108.55 |
| National facility | $63.80 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $136.03 | $88.36 |
| District of Columbia | $121.49 | $68.77 |
| California | $119.35 | $66.39 |
| New Jersey | $118.39 | $67.99 |
| New York | $118.34 | $68.41 |
| Washington | $117.38 | $66.35 |
| Massachusetts | $116.45 | $66.16 |
| Hawaii | $115.07 | $64.18 |
| Connecticut | $114.41 | $66.21 |
| Colorado | $112.14 | $64.52 |
| Maryland | $111.78 | $65.13 |
| Florida | $111.27 | $66.36 |
| Oregon | $111.20 | $64.05 |
| Rhode Island | $111.06 | $64.82 |
| New Hampshire | $110.51 | $63.91 |
| Illinois | $109.28 | $66.03 |
| Puerto Rico | $109.13 | $63.88 |
| Virgin Islands | $109.13 | $63.88 |
| Montana | $108.55 | $63.79 |
| Minnesota | $108.29 | $62.23 |
| Nevada | $108.16 | $63.36 |
| Pennsylvania | $108.05 | $64.21 |
| Delaware | $107.86 | $63.64 |
| Wyoming | $107.86 | $63.10 |
| Texas | $107.77 | $63.71 |
| North Dakota | $106.97 | $62.21 |
| Virginia | $106.82 | $62.82 |
| South Dakota | $106.78 | $62.02 |
| Vermont | $106.68 | $62.37 |
| Georgia | $106.59 | $63.89 |
| Arizona | $106.44 | $63.07 |
| Michigan | $106.24 | $64.21 |
| Maine | $105.07 | $62.31 |
| Utah | $104.93 | $62.86 |
| New Mexico | $104.46 | $63.42 |
| Wisconsin | $104.36 | $61.48 |
| Missouri | $103.92 | $62.85 |
| South Carolina | $103.91 | $62.56 |
| North Carolina | $103.85 | $62.09 |
| Louisiana | $103.83 | $62.97 |
| Ohio | $103.72 | $62.86 |
| Indiana | $103.11 | $61.62 |
| Idaho | $102.68 | $61.51 |
| Nebraska | $102.60 | $61.28 |
| West Virginia | $102.40 | $63.50 |
| Tennessee | $102.24 | $61.56 |
| Iowa | $102.20 | $61.25 |
| Kentucky | $102.13 | $62.35 |
| Oklahoma | $101.99 | $62.02 |
| Kansas | $101.87 | $61.41 |
| Alabama | $100.42 | $61.26 |
| Mississippi | $100.10 | $61.57 |
| Arkansas | $99.39 | $60.95 |

## 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
- 99391: Periodic preventive medicine visit, established patient, infant (under 1 year) — https://www.med-reveal.com/rates/99391-cpt-fee-schedule

Commercial negotiated rates for 99393 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