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Rate calculator

Describe a service in plain words, or type a CPT/HCPCS code.

Care setting rate rollup

Urgent Care

Office visits, wound repair, abscess treatment, foreign-body removal, and common diagnostic imaging for unscheduled ambulatory care.

A curated starter set for comparison—not a claim that every care setting bills every code, and not a utilization-weighted average.

At a glance

Q2 2014 compared with the prior available PFS release.

Payable codes

14 / 14

Changed this release

0

Largest increase

None

Largest decrease

None

See the rates where you practice

Enter a ZIP code to apply that Medicare locality’s work, practice-expense, and malpractice adjustments to every row.

Current national rates Copy link

Q2 2014 release

Office (non-facility) amounts for professional services, GPCI 1.000, before sequestration.

Code and service Status Office (non-facility) amount Prior release Change
Visits and evaluation
99202 New Patient Office Visit, Level 2 Active $74.51
99203 New Patient Office Visit Active $108.18
99204 Long New Patient Office Visit Active $166.22
99212 Brief Follow-Up Office Visit Active $43.70
99213 Routine Follow-Up Office Visit Active $73.08
99214 Long Follow-Up Office Visit Active $107.83
99215 Longest Follow-Up Office Visit Active $144.37
Office and procedural services
10060 Active $116.42
10120 Active $152.61
12001 Active $90.27
12002 Active $109.62
12011 Active $110.33
Testing and diagnostics
73562 Knee Radiograph Active $38.33
73610 Ankle Radiograph Active $34.39

Every code links to its contracted-rate (% of Medicare) table and a full RVU breakdown, plus billing-policy context and rate history.

How often these codes appear in Medicare Copy link

Across Original Medicare nationally in CY2024, the covered codes on this page accounted for the activity below. This is use by clinicians of all specialties—not a Urgent Care utilization mix—and it is on a different publication cycle from the fee schedule.

Services

219.0M

Times these codes were billed

Allowed dollars

$23.5B

Across covered Medicare FFS services

Most used in this set

99214

103.7M services

Coverage: 14 of 14 displayed codes. HCPCS Level II and excluded drug codes may not appear in this utilization dataset.

Turn the list into contract math

Analyze a payer offer using these Urgent Care codes

We’ll preload the code set in Contract Check. Add your annual volumes and ZIP to see the volume-weighted percentage of Medicare and annual-dollar difference.

Open in Contract Check

Get notified when Urgent Care rates change

Medicare updates the fee schedule every quarter. We'll email you only when a release moves one of the 15 Urgent Care codes on this page.

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Source & method Copy link

Amounts computed from the CMS Medicare Physician Fee Schedule Q2 2014 release , GPCI 1.000, before the ~2% sequestration cut. This is our own clean-room grouping by common clinical scenario, not the AMA’s code-family taxonomy. It is a curated starter set, not a utilization-weighted specialty mix. A code with no amount is either not separately payable under the PFS or absent from the release—never a fake $0.

Urgent care is a care setting, not a rendering-provider specialty. CMS defines it as place of service 20, which uses the Office (non-facility) PFS rate. The public Provider and Service utilization file collapses exact place of service to facility versus non-facility, so this curated list is not presented as an exact POS 20 utilization mix or a utilization-weighted average.