Medicare Physician Fee Schedule · Q3 2026 release
CPT 99212 in Queens, NY
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.
Medicare pays, Office (non-facility) setting, in Queens, NY
$68.04
Before the ~2% sequestration cut. Q3 2026 Physician Fee Schedule.
Local vs. national amount
Queens, NY pays above the national baseline by 14.4%, driven by this locality's GPCIs.
Facility setting
In a facility (e.g. hospital outpatient), Queens, NY pays $34.48 for 99212.
ZIP codes in this locality
This payment locality covers 84 ZIP codes, including 11004, 11005, 11101, 11102, 11103, 11104, 11105, 11106, 11109, 11120, 11351, 11352 and others . Every ZIP in this locality is priced the same under the Physician Fee Schedule.