Specialty rate rollup
Primary Care
Office visits, preventive care, and the routine services that make up most of a primary-care practice.
A curated starter set for comparison—not a claim that every specialty bills every code, and not a utilization-weighted average.
At a glance
Q2 2016 compared with the prior available PFS release.
Conversion factor: 0.0% no change
Payable codes
5 / 8
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 2016 releaseOffice (non-facility) and facility professional amounts, GPCI 1.000, before sequestration.
| Code and service | Status | Office (non-facility) | Facility |
|---|---|---|---|
| Visits and evaluation | |||
| 99213 Routine Follow-Up Office Visit | Active |
$73.40
No price history
|
$51.56
No price history
|
| 99214 Long Follow-Up Office Visit | Active |
$108.13
No price history
|
$79.13
No price history
|
| 99202 New Patient Office Visit, Level 2 | Active |
$75.19
No price history
|
$50.84
No price history
|
| 99396 | Non-covered |
—
|
—
|
| 99397 | Non-covered |
—
|
—
|
| Treatment and ongoing management | |||
| 90471 | Active |
$25.42
No price history
|
$25.42
No price history
|
| Testing and diagnostics | |||
| 96127 | Active |
$5.37
No price history
|
$5.37
No price history
|
| 36415 Blood Draw | Statutory exclusion |
—
|
—
|
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 Primary Care utilization mix—and it is on a different publication cycle from the fee schedule.
Services
215.4M
Times these codes were billed
Allowed dollars
$18.4B
Across covered Medicare FFS services
Most used in this set
99214
103.7M services
Coverage: 6 of 8 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 Primary 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.
Get notified when Primary Care rates change
Medicare updates the fee schedule every quarter. We'll email you only when a release moves one of the 8 Primary Care codes on this page.
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Source & method Copy link
Amounts computed from the CMS Medicare Physician Fee Schedule Q2 2016 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.