# CPT 99394: Periodic preventive medicine visit, established patient, adolescent (12-17 years)

Medicare CPT 99394 pays $119.24 in a non-facility setting and $72.81 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $109.17 in Arkansas to $149.80 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/99394-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Clinic/Center, Evaluation, Family Medicine, Internal Medicine, Obstetrics & Gynecology, Pediatrics

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $119.24 |
| National facility | $72.81 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $149.80 | $100.36 |
| District of Columbia | $133.19 | $78.50 |
| California | $130.37 | $75.43 |
| New York | $130.05 | $78.25 |
| New Jersey | $129.88 | $77.60 |
| Washington | $128.49 | $75.56 |
| Massachusetts | $127.54 | $75.38 |
| Hawaii | $125.75 | $72.96 |
| Connecticut | $125.67 | $75.67 |
| Florida | $122.91 | $76.33 |
| Colorado | $122.88 | $73.48 |
| Maryland | $122.76 | $74.37 |
| Rhode Island | $121.86 | $73.90 |
| Oregon | $121.82 | $72.91 |
| New Hampshire | $121.19 | $72.86 |
| Illinois | $120.80 | $75.94 |
| Puerto Rico | $119.83 | $72.89 |
| Virgin Islands | $119.83 | $72.89 |
| Montana | $119.23 | $72.81 |
| Pennsylvania | $118.80 | $73.32 |
| Nevada | $118.69 | $72.21 |
| Delaware | $118.45 | $72.58 |
| Texas | $118.38 | $72.67 |
| Minnesota | $118.36 | $70.59 |
| Wyoming | $118.29 | $71.86 |
| Georgia | $117.35 | $73.05 |
| Virginia | $117.16 | $71.52 |
| Michigan | $117.15 | $73.56 |
| North Dakota | $117.06 | $70.63 |
| Arizona | $116.89 | $71.90 |
| Vermont | $116.84 | $70.88 |
| South Dakota | $116.80 | $70.37 |
| Utah | $115.34 | $71.70 |
| Maine | $115.26 | $70.90 |
| New Mexico | $115.10 | $72.53 |
| Missouri | $114.34 | $71.74 |
| Louisiana | $114.30 | $71.91 |
| Wisconsin | $114.23 | $69.75 |
| South Carolina | $114.22 | $71.32 |
| Ohio | $114.16 | $71.77 |
| North Carolina | $113.98 | $70.66 |
| West Virginia | $113.12 | $72.78 |
| Indiana | $113.06 | $70.02 |
| Idaho | $112.60 | $69.89 |
| Nebraska | $112.43 | $69.58 |
| Kentucky | $112.40 | $71.13 |
| Tennessee | $112.19 | $69.99 |
| Oklahoma | $112.13 | $70.67 |
| Iowa | $112.03 | $69.55 |
| Kansas | $111.78 | $69.81 |
| Alabama | $110.30 | $69.67 |
| Mississippi | $110.11 | $70.14 |
| Arkansas | $109.17 | $69.29 |

## 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 99394 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