Medicare Physician Fee Schedule · Q3 2026 release
CPT 99213 in Chicago, IL
Routine Follow-Up Office Visit
Medicare pays, Office (non-facility) setting, in Chicago, IL
$99.63
Before the ~2% sequestration cut. Q3 2026 Physician Fee Schedule.
Local vs. national amount
Chicago, IL (this locality)
$99.63
National (GPCI 1.000 baseline)
$95.19
Chicago, IL pays above the national baseline by 4.7%, driven by this locality's GPCIs.
Facility setting
In a facility (e.g. hospital outpatient), Chicago, IL pays $61.70 for 99213.
ZIP codes in this locality
This payment locality covers 228 ZIP codes, including 60004, 60005, 60006, 60007, 60008, 60009, 60016, 60017, 60018, 60019, 60022, 60025 and others . Every ZIP in this locality is priced the same under the Physician Fee Schedule.