# CPT 99395: Periodic preventive medicine visit, established patient, 18-39 years

Medicare CPT 99395 pays $121.58 in a non-facility setting and $74.82 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $111.41 in Arkansas to $153.02 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/99395-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Clinic/Center, Evaluation, Family Medicine, Internal Medicine, Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $121.58 |
| National facility | $74.82 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $153.02 | $103.22 |
| District of Columbia | $135.73 | $80.65 |
| California | $132.89 | $77.56 |
| New York | $132.54 | $80.38 |
| New Jersey | $132.38 | $79.73 |
| Washington | $130.97 | $77.66 |
| Massachusetts | $130.02 | $77.47 |
| Hawaii | $128.18 | $75.01 |
| Connecticut | $128.10 | $77.74 |
| Colorado | $125.28 | $75.53 |
| Florida | $125.25 | $78.34 |
| Maryland | $125.16 | $76.40 |
| Rhode Island | $124.26 | $75.95 |
| Oregon | $124.21 | $74.95 |
| New Hampshire | $123.56 | $74.88 |
| Illinois | $123.13 | $77.94 |
| Puerto Rico | $122.18 | $74.90 |
| Virgin Islands | $122.18 | $74.90 |
| Montana | $121.57 | $74.81 |
| Pennsylvania | $121.14 | $75.34 |
| Nevada | $121.03 | $74.22 |
| Delaware | $120.79 | $74.59 |
| Minnesota | $120.72 | $72.60 |
| Texas | $120.72 | $74.68 |
| Wyoming | $120.62 | $73.86 |
| Georgia | $119.65 | $75.04 |
| Virginia | $119.49 | $73.52 |
| Michigan | $119.45 | $75.54 |
| North Dakota | $119.40 | $72.64 |
| Arizona | $119.21 | $73.90 |
| Vermont | $119.17 | $72.88 |
| South Dakota | $119.14 | $72.38 |
| Utah | $117.64 | $73.68 |
| Maine | $117.56 | $72.88 |
| New Mexico | $117.38 | $74.50 |
| Missouri | $116.63 | $73.72 |
| Louisiana | $116.58 | $73.88 |
| Wisconsin | $116.54 | $71.74 |
| South Carolina | $116.51 | $73.30 |
| Ohio | $116.44 | $73.74 |
| North Carolina | $116.27 | $72.64 |
| West Virginia | $115.37 | $74.74 |
| Indiana | $115.35 | $72.00 |
| Idaho | $114.89 | $71.87 |
| Nebraska | $114.72 | $71.56 |
| Kentucky | $114.67 | $73.10 |
| Tennessee | $114.47 | $71.96 |
| Oklahoma | $114.40 | $72.64 |
| Iowa | $114.31 | $71.52 |
| Kansas | $114.05 | $71.78 |
| Alabama | $112.55 | $71.64 |
| Mississippi | $112.36 | $72.09 |
| Arkansas | $111.41 | $71.25 |

## 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 99395 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