Evaluation & Management Procedures
96 procedures with Medicare rates from the CMS 2026 Physician Fee Schedule
Code
Description
Category
Medicare Rate
Hospital Outpatient
ASC
99202
Office o/p new sf 15 min
Evaluation & Management
$41
—
—
99203
Office o/p new low 30 min
Evaluation & Management
$71
—
—
99204
Office o/p new mod 45 min
Evaluation & Management
$117
—
—
99205
Office o/p new hi 60 min
Evaluation & Management
$160
—
—
99211
Off/op est may x req phy/qhp
Evaluation & Management
$8
—
—
99212
Office o/p est sf 10 min
Evaluation & Management
$31
—
—
99213
Office visit - established patient, low complexity
Evaluation & Management
$67
—
—
99214
Office visit - established patient, moderate complexity
Evaluation & Management
$98
—
—
99215
Office visit - established patient, high complexity
Evaluation & Management
$139
—
—
99221
1st hosp ip/obs sf/low 40
Evaluation & Management
$74
—
—
99222
1st hosp ip/obs moderate 55
Evaluation & Management
$117
—
—
99223
1st hosp ip/obs high 75
Evaluation & Management
$156
—
—
99231
Sbsq hosp ip/obs sf/low 25
Evaluation & Management
$44
—
—
99232
Sbsq hosp ip/obs moderate 35
Evaluation & Management
$70
—
—
99233
Sbsq hosp ip/obs high 50
Evaluation & Management
$107
—
—
99234
Hosp ip/obs sm dt sf/low 45
Evaluation & Management
$88
—
—
99235
Hosp ip/obs same date mod 70
Evaluation & Management
$143
—
—
99236
Hosp ip/obs same date hi 85
Evaluation & Management
$190
—
—
99238
Hosp ip/obs dschrg mgmt 30/<
Evaluation & Management
$75
—
—
99239
Hosp ip/obs dschrg mgmt >30
Evaluation & Management
$107
—
—
99304
1st nf care sf/low mdm 25
Evaluation & Management
$71
—
—
99305
1st nf care moderate mdm 35
Evaluation & Management
$120
—
—
99306
1st nf care high mdm 50
Evaluation & Management
$163
—
—
99307
Sbsq nf care sf mdm 10
Evaluation & Management
$37
—
—
99308
Sbsq nf care low mdm 20
Evaluation & Management
$68
—
—
99309
Sbsq nf care moderate mdm 30
Evaluation & Management
$99
—
—
99310
Sbsq nf care high mdm 45
Evaluation & Management
$140
—
—
99315
Nf dschrg mgmt 30 min/less
Evaluation & Management
$73
—
—
99316
Nf dschrg mgmt 30 min+
Evaluation & Management
$118
—
—
99341
Home/res vst new sf mdm 15
Evaluation & Management
$49
—
—
99342
Home/res vst new low mdm 30
Evaluation & Management
$79
—
—
99344
Home/res vst new mod mdm 60
Evaluation & Management
$147
—
—
99345
Home/res vst new high mdm 75
Evaluation & Management
$210
—
—
99347
Home/res vst est sf mdm 20
Evaluation & Management
$46
—
—
99348
Home/res vst est low mdm 30
Evaluation & Management
$79
—
—
99349
Home/res vst est mod mdm 40
Evaluation & Management
$132
—
—
99350
Home/res vst est high mdm 60
Evaluation & Management
$193
—
—
99406
Behav chng smoking 3-10 min
Evaluation & Management
$11
$38
—
99407
Behav chng smoking > 10 min
Evaluation & Management
$22
$38
—
99415
Prolng clin staff svc 1st hr
Evaluation & Management
$23
—
—
99416
Prolng clin staff svc ea add
Evaluation & Management
$13
—
—
99421
Ol dig e/m svc 5-10 min
Evaluation & Management
$11
—
—
99422
Ol dig e/m svc 11-20 min
Evaluation & Management
$22
—
—
99423
Ol dig e/m svc 21+ min
Evaluation & Management
$35
—
—
99424
Prin care mgmt phys 1st 30
Evaluation & Management
$65
—
—
99425
Prin care mgmt phys ea addl
Evaluation & Management
$44
—
—
99426
Prin care mgmt staff 1st 30
Evaluation & Management
$44
$104
—
99427
Prin care mgmt staff ea addl
Evaluation & Management
$31
—
—
99437
Chrnc care mgmt phys ea addl
Evaluation & Management
$44
—
—
99439
Chrnc care mgmt staf ea addl
Evaluation & Management
$31
—
—
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