Medicare Physician Fee Schedule · Q3 2026 release
CPT 99202 in Baltimore, MD
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 Baltimore, MD
$79.25
Before the ~2% sequestration cut. Q3 2026 Physician Fee Schedule.
Local vs. national amount
Baltimore, MD pays above the national baseline by 5.5%, driven by this locality's GPCIs.
Facility setting
In a facility (e.g. hospital outpatient), Baltimore, MD pays $42.70 for 99202.
ZIP codes in this locality
This payment locality covers 202 ZIP codes, including 20588, 20701, 20711, 20723, 20724, 20733, 20751, 20755, 20758, 20759, 20763, 20764 and others . Every ZIP in this locality is priced the same under the Physician Fee Schedule.