# CPT 99214

> Medicare paid $107.83 for CPT 99214 in the office (non-facility) setting and $79.17 in a facility under the Q3 2014 Physician Fee Schedule, effective July 2014. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment.

## What it is

A more involved established-patient visit — for example, managing multiple chronic conditions that are not fully controlled (such as diabetes needing a medication change), or a new problem with an uncertain diagnosis that requires prescription drug management. Total visit time typically runs about 30 to 39 minutes. Documentation needs to support a higher level of decision-making: more than one chronic illness with exacerbation, or moderate risk from the treatment plan, such as starting or adjusting a prescription drug.

## Selected release

- Release: Q3 2014 (2014 C)
- Effective: July 1 – September 30, 2014
- Status indicator: A
- Office (non-facility) national allowed amount: $107.83
- Facility national allowed amount: $79.17
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.50
- Office (non-facility) practice expense RVU: 1.41
- Facility practice expense RVU: 0.61
- Malpractice RVU: 0.10
- Conversion factor: 35.8228
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2014)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu14c.zip
- Parsed file: PPRRVU14_V0515.csv, row 15,743
- Canonical page: https://localishealth.com/cpt/99214/2014/B
- Release-specific citation URL: https://localishealth.com/cpt/99214/2014/C
- Last significant update: 2026-08-04T03:05:22+00:00