# CPT 99397: Periodic preventive medicine visit, established patient, 65 years and older

Medicare CPT 99397 pays $138.95 in a non-facility setting and $85.17 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $127.40 in Arkansas to $174.98 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/99397-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Clinic/Center, Evaluation, Family Medicine, Internal Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $138.95 |
| National facility | $85.17 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $174.98 | $117.71 |
| District of Columbia | $155.14 | $91.79 |
| California | $151.99 | $88.36 |
| New York | $151.43 | $91.44 |
| New Jersey | $151.31 | $90.75 |
| Washington | $149.75 | $88.44 |
| Massachusetts | $148.64 | $88.23 |
| Hawaii | $146.60 | $85.45 |
| Connecticut | $146.37 | $88.46 |
| Colorado | $143.23 | $86.02 |
| Maryland | $143.02 | $86.96 |
| Florida | $142.97 | $89.02 |
| Rhode Island | $142.03 | $86.48 |
| Oregon | $142.01 | $85.37 |
| New Hampshire | $141.24 | $85.26 |
| Illinois | $140.54 | $88.57 |
| Puerto Rico | $139.64 | $85.27 |
| Virgin Islands | $139.64 | $85.27 |
| Montana | $138.94 | $85.16 |
| Pennsylvania | $138.43 | $85.76 |
| Nevada | $138.35 | $84.52 |
| Minnesota | $138.10 | $82.77 |
| Delaware | $138.06 | $84.93 |
| Texas | $137.98 | $85.03 |
| Wyoming | $137.91 | $84.13 |
| Georgia | $136.70 | $85.40 |
| Virginia | $136.61 | $83.75 |
| North Dakota | $136.57 | $82.79 |
| Michigan | $136.43 | $85.93 |
| South Dakota | $136.29 | $82.51 |
| Vermont | $136.29 | $83.05 |
| Arizona | $136.26 | $84.15 |
| Utah | $134.45 | $83.90 |
| Maine | $134.42 | $83.04 |
| New Mexico | $134.10 | $84.79 |
| Wisconsin | $133.31 | $81.80 |
| Missouri | $133.28 | $83.93 |
| Louisiana | $133.20 | $84.11 |
| South Carolina | $133.17 | $83.48 |
| Ohio | $133.05 | $83.95 |
| North Carolina | $132.94 | $82.76 |
| Indiana | $131.91 | $82.06 |
| West Virginia | $131.75 | $85.02 |
| Idaho | $131.38 | $81.91 |
| Nebraska | $131.21 | $81.57 |
| Kentucky | $131.04 | $83.24 |
| Tennessee | $130.89 | $82.01 |
| Oklahoma | $130.76 | $82.74 |
| Iowa | $130.74 | $81.53 |
| Kansas | $130.42 | $81.81 |
| Alabama | $128.69 | $81.64 |
| Mississippi | $128.43 | $82.13 |
| Arkansas | $127.40 | $81.20 |

## 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 99397 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