Medicare Physician Fee Schedule · Q3 2026 release
CPT 99214 in Sacramento, CA
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.
Medicare pays, Office (non-facility) setting, in Sacramento, CA
$146.64
Before the ~2% sequestration cut. Q3 2026 Physician Fee Schedule.
Local vs. national amount
Sacramento, CA pays above the national baseline by 8.1%, driven by this locality's GPCIs.
Facility setting
In a facility (e.g. hospital outpatient), Sacramento, CA pays $87.20 for 99214.
ZIP codes in this locality
This payment locality covers 219 ZIP codes, including 94203, 94204, 94205, 94206, 94207, 94208, 94209, 94211, 94229, 94230, 94232, 94234 and others . Every ZIP in this locality is priced the same under the Physician Fee Schedule.