# CPT 99202

> Medicare paid $73.97 for CPT 99202 in the office (non-facility) setting and $49.90 in a facility under the Q3 2021 Physician Fee Schedule, effective July 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it decreased 4.2%.

## What it is

A low-complexity visit for a patient the practice has not seen recently — for example, a new patient with a single minor issue like a mild rash or a medication refill request. Total visit time typically runs about 15 to 29 minutes, and documentation needs only a limited problem, minimal or no data review, and low risk from the plan of care. It is the entry-level new-patient office visit.

## Selected release

- Release: Q3 2021 (2021 C)
- Effective: July 1 – September 30, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $73.97
- Facility national allowed amount: $49.90
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.93
- Office (non-facility) practice expense RVU: 1.10
- Facility practice expense RVU: 0.41
- Malpractice RVU: 0.09
- Conversion factor: 34.8931
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21c-updated-6302021.zip
- Parsed file: PPRRVU21_JUL.csv, row 17,221
- Canonical page: https://localishealth.com/cpt/99202/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/99202/2021/C
- Last significant update: 2026-08-04T03:10:45+00:00