{
    "code": "99212",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/99212/2022/A",
    "release_specific_url": "https://localishealth.com/cpt/99212/2022/A",
    "description": "A short established-patient visit for a single, straightforward problem — for example, a routine medication refill check or a minor, self-limited issue like a mild rash. Total visit time typically runs about 10 to 19 minutes, and documentation needs to show one uncomplicated problem, minimal or no data reviewed, and low risk from the plan of care.",
    "answer": {
        "question": "How much did Medicare pay for CPT 99212 in Q1 2022?",
        "text": "Medicare paid $57.45 for CPT 99212 in the office (non-facility) setting and $36.68 in a facility under the Q1 2022 Physician Fee Schedule, effective January 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 1.0% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2022,
        "quarter": "A",
        "label": "Q1 2022",
        "effective": "January 1 – March 31, 2022",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 57.45,
        "facility": 36.68,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.7,
        "practice_expense_non_facility": 0.89,
        "practice_expense_facility": 0.29,
        "malpractice": 0.07
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.6062,
    "source": {
        "label": "Physician relative value file (Q1 2022)",
        "cms_url": "https://www.cms.gov/files/zip/rvu22a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2022/A",
        "file": "PPRRVU22_JAN.csv",
        "row": 17418,
        "sha256": "10258dd1f6966657ef18c0f2c85ff446c9d799406974c4b536139a327c43799e"
    },
    "modified_at": "2026-08-04T03:11:16+00:00"
}