CPT 99214E&M
Reimbursement by state
Office o/p est mod 30 min
Highest
$158.97
Alaska
Median
$123.24
across 53 states
Lowest
$114.69
Arkansas
Spread
39%
highest vs lowest
| Rank | State | Locality | Rate | vs Median |
|---|---|---|---|---|
| 1top | Alaska | Alaska | $158.97 | +29.0% |
| 2 | New York | Manhattanⓘ | $142.07 | +15.3% |
| 3 | District of Columbia | Washington DC + MD/VA Suburbs | $140.72 | +14.2% |
| 4 | Washington | Seattle (King County) | $139.95 | +13.6% |
| 5 | New Jersey | Northern NJ | $139.33 | +13.1% |
| 6 | Massachusetts | Metro Boston |
Methodology
Each state shows the non-facility rate for one representative Medicare locality. Most states have only one locality, but several (CA, NY, TX, FL, IL, MA, MO, NJ, OR, WA, PA) have multiple. For those, we use the largest metropolitan locality. States like California span a wide GPCI range — billers in different California cities should check the locality-specific rate on the main code page.
Rates derived from 2025 CMS Physician Fee Schedule (RVU25A) with 2025 GPCI adjustments. Conversion factor: 32.3465.