# CPT 99484: General behavioral health integration care management, first 20 minutes per month

Medicare CPT 99484 pays $57.45 in a non-facility setting and $38.75 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $53.04 in Arkansas to $73.67 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/99484-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Evaluation, Social Worker

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $57.45 |
| National facility | $38.75 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $73.67 | $53.75 |
| District of Columbia | $63.69 | $41.66 |
| New York | $62.46 | $41.59 |
| New Jersey | $62.29 | $41.23 |
| California | $62.11 | $39.98 |
| Washington | $61.42 | $40.10 |
| Massachusetts | $61.03 | $40.02 |
| Connecticut | $60.37 | $40.22 |
| Hawaii | $59.95 | $38.68 |
| Florida | $59.43 | $40.66 |
| Maryland | $59.05 | $39.55 |
| Colorado | $58.94 | $39.04 |
| Rhode Island | $58.63 | $39.31 |
| Illinois | $58.56 | $40.49 |
| Oregon | $58.45 | $38.75 |
| New Hampshire | $58.20 | $38.73 |
| Puerto Rico | $57.69 | $38.78 |
| Virgin Islands | $57.69 | $38.78 |
| Montana | $57.45 | $38.74 |
| Pennsylvania | $57.37 | $39.05 |
| Nevada | $57.14 | $38.42 |
| Delaware | $57.11 | $38.63 |
| Texas | $57.10 | $38.69 |
| Wyoming | $56.93 | $38.22 |
| Michigan | $56.78 | $39.22 |
| Georgia | $56.77 | $38.92 |
| Minnesota | $56.75 | $37.50 |
| Virginia | $56.45 | $38.06 |
| Arizona | $56.41 | $38.28 |
| North Dakota | $56.26 | $37.55 |
| Vermont | $56.22 | $37.70 |
| South Dakota | $56.12 | $37.41 |
| New Mexico | $55.83 | $38.68 |
| Utah | $55.78 | $38.20 |
| Maine | $55.62 | $37.74 |
| Louisiana | $55.42 | $38.35 |
| Missouri | $55.41 | $38.25 |
| Ohio | $55.34 | $38.27 |
| South Carolina | $55.30 | $38.01 |
| West Virginia | $55.12 | $38.86 |
| North Carolina | $55.09 | $37.64 |
| Wisconsin | $55.04 | $37.12 |
| Indiana | $54.64 | $37.30 |
| Kentucky | $54.57 | $37.94 |
| Idaho | $54.44 | $37.23 |
| Oklahoma | $54.39 | $37.69 |
| Nebraska | $54.33 | $37.06 |
| Tennessee | $54.30 | $37.30 |
| Iowa | $54.17 | $37.05 |
| Kansas | $54.11 | $37.21 |
| Mississippi | $53.54 | $37.43 |
| Alabama | $53.53 | $37.17 |
| Arkansas | $53.04 | $36.97 |

## Related codes

- 99424: Principal care management services, first 30 minutes per month, physician or QHP — https://www.med-reveal.com/rates/99424-cpt-fee-schedule
- 99425: Principal care management services, each additional 30 minutes per month, physician or QHP (add-on) — https://www.med-reveal.com/rates/99425-cpt-fee-schedule
- 99426: Principal care management services, first 30 minutes per month, clinical staff — https://www.med-reveal.com/rates/99426-cpt-fee-schedule
- 99427: Principal care management services, each additional 30 minutes per month, clinical staff (add-on) — https://www.med-reveal.com/rates/99427-cpt-fee-schedule
- 99439: Chronic care management services, non-complex, each additional 20 minutes per month (add-on) — https://www.med-reveal.com/rates/99439-cpt-fee-schedule
- 99487: Complex chronic care management services, first 60 minutes per month — https://www.med-reveal.com/rates/99487-cpt-fee-schedule
- 99489: Complex chronic care management services, each additional 30 minutes per month (add-on) — https://www.med-reveal.com/rates/99489-cpt-fee-schedule
- 99490: Chronic care management services, non-complex, first 20 minutes per month — https://www.med-reveal.com/rates/99490-cpt-fee-schedule

Commercial negotiated rates for 99484 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