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Describe a service in plain words, or type a CPT/HCPCS code.

Medicare Physician Fee Schedule · Q3 2026 release

Sacramento, CA flag

CPT 99202 in Sacramento, CA

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.

Medicare pays, Office (non-facility) setting, in Sacramento, CA

$81.99

Before the ~2% sequestration cut. Q3 2026 Physician Fee Schedule.

Local vs. national amount

Sacramento, CA (this locality)
$81.99
National (GPCI 1.000 baseline)
$75.15

Sacramento, CA pays above the national baseline by 9.1%, driven by this locality's GPCIs.

Facility setting

In a facility (e.g. hospital outpatient), Sacramento, CA pays $42.37 for 99202.

ZIP codes in this locality

This payment locality covers 219 ZIP codes, including 94203, 94204, 94205, 94206, 94207, 94208, 94209, 94211, 94229, 94230, 94232, 94234 and others . Every ZIP in this locality is priced the same under the Physician Fee Schedule.

Full rate calculator CPT 99202 national page Sacramento, CA locality page