Medicare rates for Office and outpatient visits
9 codes in this family have a rate page here. Each figure below is Medicare’s national allowed amount for one unit, in an office and in a facility, from the CMS 2026 October release, effective Oct 1, 2026. They are national amounts before geographic adjustment, taken from CMS’s own relative value files, which the release catalog lists with their checksums.
Office and outpatient visits, by code
Each code links to its own page, which shows the arithmetic, the New Jersey localities, every state and the history by fee-schedule year. The facility figure is the doctor’s fee in a facility, not the hospital’s own payment.
| Code | Office | Facility |
|---|---|---|
| CPT 99202 | $75.15 | $41.08 |
| CPT 99203 | $117.57 | $71.48 |
| CPT 99204 | $177.36 | $116.90 |
| CPT 99205 | $236.81 | $160.32 |
| CPT 99211 | $24.38 | $7.68 |
| CPT 99212 | $59.45 | $31.06 |
| CPT 99213 | $95.19 | $57.45 |
| CPT 99214 | $135.61 | $84.50 |
| CPT 99215 | $192.39 | $125.59 |
Current Procedural Terminology (CPT) is copyright 2019–2025 American Medical Association (AMA). All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. CPT® is a trademark of the American Medical Association.
Other codes and other dates
Go back to the list of code families, or use the Medicare rate lookup to price any code, state and date of service under the release in force on that date.