# CPT 99401: Preventive medicine counseling, individual, approximately 15 minutes

Medicare CPT 99401 pays $39.75 in a non-facility setting and $20.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $36.06 in Arkansas to $48.79 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/99401-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Evaluation

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $39.75 |
| National facility | $20.71 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $48.79 | $28.51 |
| District of Columbia | $44.77 | $22.34 |
| California | $44.03 | $21.50 |
| New Jersey | $43.52 | $22.08 |
| New York | $43.49 | $22.26 |
| Washington | $43.22 | $21.52 |
| Massachusetts | $42.85 | $21.47 |
| Hawaii | $42.44 | $20.79 |
| Connecticut | $42.03 | $21.52 |
| Colorado | $41.17 | $20.92 |
| Maryland | $41.00 | $21.15 |
| Oregon | $40.82 | $20.76 |
| Florida | $40.77 | $21.67 |
| Rhode Island | $40.69 | $21.03 |
| New Hampshire | $40.55 | $20.73 |
| Puerto Rico | $39.98 | $20.73 |
| Virgin Islands | $39.98 | $20.73 |
| Illinois | $39.95 | $21.55 |
| Montana | $39.75 | $20.71 |
| Minnesota | $39.70 | $20.11 |
| Nevada | $39.60 | $20.54 |
| Pennsylvania | $39.49 | $20.85 |
| Wyoming | $39.49 | $20.45 |
| Delaware | $39.45 | $20.64 |
| Texas | $39.41 | $20.67 |
| North Dakota | $39.15 | $20.11 |
| South Dakota | $39.08 | $20.04 |
| Virginia | $39.07 | $20.35 |
| Vermont | $39.02 | $20.18 |
| Georgia | $38.92 | $20.76 |
| Arizona | $38.90 | $20.45 |
| Michigan | $38.77 | $20.90 |
| Maine | $38.36 | $20.17 |
| Utah | $38.28 | $20.39 |
| Wisconsin | $38.10 | $19.86 |
| New Mexico | $38.06 | $20.61 |
| South Carolina | $37.87 | $20.28 |
| Missouri | $37.86 | $20.39 |
| North Carolina | $37.86 | $20.10 |
| Louisiana | $37.82 | $20.43 |
| Ohio | $37.78 | $20.40 |
| Indiana | $37.57 | $19.93 |
| Idaho | $37.40 | $19.89 |
| Nebraska | $37.37 | $19.80 |
| Tennessee | $37.22 | $19.91 |
| Iowa | $37.21 | $19.79 |
| West Virginia | $37.20 | $20.66 |
| Kentucky | $37.14 | $20.22 |
| Oklahoma | $37.09 | $20.09 |
| Kansas | $37.07 | $19.86 |
| Alabama | $36.47 | $19.81 |
| Mississippi | $36.33 | $19.94 |
| Arkansas | $36.06 | $19.70 |

## Related codes

- 99402: Preventive medicine counseling, individual, approximately 30 minutes — https://www.med-reveal.com/rates/99402-cpt-fee-schedule
- 99403: Preventive medicine counseling, individual, approximately 45 minutes — https://www.med-reveal.com/rates/99403-cpt-fee-schedule
- 99404: Preventive medicine counseling, individual, approximately 60 minutes — https://www.med-reveal.com/rates/99404-cpt-fee-schedule
- 99406: Smoking and tobacco use cessation counseling, 3-10 minutes — https://www.med-reveal.com/rates/99406-cpt-fee-schedule
- 99407: Smoking and tobacco use cessation counseling, greater than 10 minutes — https://www.med-reveal.com/rates/99407-cpt-fee-schedule
- 99408: Alcohol and/or substance abuse structured screening and brief intervention, 15-30 minutes — https://www.med-reveal.com/rates/99408-cpt-fee-schedule
- 99409: Alcohol and/or substance abuse structured screening and brief intervention, greater than 30 minutes — https://www.med-reveal.com/rates/99409-cpt-fee-schedule
- 99411: Preventive medicine counseling, group, approximately 30 minutes — https://www.med-reveal.com/rates/99411-cpt-fee-schedule

Commercial negotiated rates for 99401 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