localis
Calculator

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

Medicare Physician Fee Schedule · Q3 2026 release

Miami, FL flag

CPT 99203 in Miami, FL

A low-to-moderate complexity visit for a patient the practice has not seen recently — for example, a new patient establishing care for a stable condition or presenting with a single uncomplicated problem, such as seasonal allergies. Total visit time typically runs about 30 to 44 minutes; new-patient visits generally take longer than an established-patient visit at the same level because no prior chart exists to build on.

Medicare pays, Office (non-facility) setting, in Miami, FL

$128.15

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

Local vs. national amount

Miami, FL (this locality)
$128.15
National (GPCI 1.000 baseline)
$117.57

Miami, FL pays above the national baseline by 9.0%, driven by this locality's GPCIs.

Facility setting

In a facility (e.g. hospital outpatient), Miami, FL pays $80.17 for 99203.

ZIP codes in this locality

This payment locality covers 145 ZIP codes, including 33001, 33002, 33010, 33011, 33012, 33013, 33014, 33015, 33016, 33017, 33018, 33030 and others . Every ZIP in this locality is priced the same under the Physician Fee Schedule.

Full rate calculator CPT 99203 national page Miami, FL locality page