How much does Medicare pay for CPT 99341?

Medicare allowed an average of $46.98 per service and paid $34.26 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $99.61, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 99341?

Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes. It was billed 50,583 times to 50,565 Medicare beneficiaries by 797 providers in 2024.

Does 99341 pay differently in an office than a hospital?

Yes. The allowed amount averaged $46.98 in an office setting and $48.12 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 99341 most?

Podiatry, with 44,975 services from 651 clinicians. Next are Nurse Practitioner, Physician Assistant, Internal Medicine.

CPT 99341

Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes

$46.98Medicare-allowed amount per service, averaged across 50,583 services

Providers submitted

$99.61

Asking price, not received

Medicare allowed

$46.98

The fee schedule figure

Medicare paid

$34.26

Balance is patient coinsurance

Providers submitted an average of $99.61 for this code and Medicare allowed $46.98 — 2.1× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $34.26 (73%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $46.98
Hospital / facility: $48.12

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 50,569 services were billed in an office setting and 14 in a facility.

Services: 50,583
Beneficiaries: 50,565
Providers billing it: 797
Total allowed: $2,376,389

What Medicare pays for CPT 99341

Across 50,583 services billed by 797 providers to 50,565 beneficiaries, Medicare allowed an average of $46.98 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 99341

Specialty	Services	Beneficiaries	Avg allowed	Providers
Podiatry	44,975	44,959	$47.52	651
Nurse Practitioner	3,684	3,684	$41.50	91
Physician Assistant	1,182	1,182	$42.26	36
Internal Medicine	301	301	$47.86	5
Psychiatry	116	115	$54.44	1
Family Practice	93	93	$50.44	4
Otolaryngology	72	72	$47.66	1
Interventional Radiology	37	37	$51.01	1
Geriatric Medicine	36	36	$49.26	2
Certified Clinical Nurse Specialist	31	31	$39.22	1
Plastic and Reconstructive Surgery	17	17	$47.98	1
Vascular Surgery	14	13	$54.52	1
Dermatology	14	14	$50.74	1
Emergency Medicine	11	11	$48.54	1

99341 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	5,280	$47.31	$35.25	80
Illinois	4,589	$46.72	$34.50	61
Pennsylvania	3,880	$47.36	$35.28	64
California	3,597	$49.08	$34.21	62
Texas	3,052	$46.72	$35.20	38
Ohio	2,722	$46.50	$34.60	46
New York	2,432	$48.85	$35.06	48
Missouri	2,027	$46.02	$34.44	22
Wisconsin	1,982	$46.93	$35.02	23
Michigan	1,915	$47.35	$35.59	38
New Jersey	1,811	$48.96	$35.72	47
Minnesota	1,521	$46.28	$33.39	13
Washington	1,465	$47.36	$33.82	17
Indiana	1,304	$44.18	$34.42	16
Maryland	1,301	$48.67	$35.89	9
Virginia	1,097	$46.06	$34.51	22
Arizona	864	$45.11	$34.14	13
Massachusetts	862	$48.81	$34.81	18
Georgia	840	$46.11	$34.39	11
Idaho	772	$43.46	$34.78	6
Utah	677	$46.77	$32.63	13
Nevada	639	$46.23	$33.63	12
South Carolina	615	$46.24	$35.45	13
Connecticut	605	$48.22	$35.65	12
Kentucky	516	$43.84	$35.85	7
Kansas	505	$43.52	$33.95	6
Colorado	488	$46.44	$33.52	15
Nebraska	469	$43.39	$32.58	5
Tennessee	449	$44.88	$31.19	6
North Carolina	397	$45.93	$36.08	12
Maine	329	$47.75	$35.15	4
New Hampshire	294	$47.27	$34.00	4
Iowa	224	$45.33	$33.17	8
Oregon	203	$47.47	$31.79	2
Alabama	120	$45.87	$31.70	3
South Dakota	114	$47.29	$35.35	1
Oklahoma	100	$45.17	$33.22	3
Montana	83	$48.07	$33.90	3
New Mexico	73	$47.86	$37.55	1
District of Columbia	52	$45.29	$34.08	2
West Virginia	50	$41.58	$28.12	2
Vermont	48	$47.26	$33.70	1
Louisiana	42	$43.45	$35.72	1
Delaware	39	$45.68	$30.68	1
Wyoming	38	$47.25	$29.36	1
Rhode Island	37	$52.10	$34.19	1
Mississippi	25	$38.93	$30.16	2
Puerto Rico	20	$45.97	$38.28	1
North Dakota	19	$47.14	$38.20	1

Related codes

99309Subsequent nursing facility care$96.76
99308Subsequent nursing facility care$68.91
99349Residence visit for established patient$111.27
99310Subsequent nursing facility care$136.30
99348Residence visit for established patient$69.57
99307Subsequent nursing facility care$38.21
99306Initial nursing facility care$173.94
99350Residence visit for established patient$162.36
99305Initial nursing facility care$126.36
99347Residence visit for established patient$42.71
99316Nursing facility discharge management$116.89
99304Initial nursing facility care$76.99

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.