CPT code 99341: Home visit, new patient, straightforward MDM2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $49.24 for 99341 in the office.

Check a contract rate as a % of Medicare · 99341 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 99341 covers

A physician or other qualified health professional reports this evaluation and management service for a new patient seen in a private home or another residence, such as an assisted living facility or group home. The encounter addresses the patient's health needs at that location; the service is not an initial nursing facility visit. The clinician performs a medically appropriate history and/or examination as indicated by the problem.

Select this code when medical decision making is straightforward, or when using time for code selection, the clinician documents at least 15 minutes of qualifying total time on the encounter date. The patient must meet the new-patient definition: no professional service in the preceding three years from the clinician or another clinician of the same specialty and subspecialty in the same group. The record should support the residence setting, new-patient status, assessment and plan, and the MDM or time basis for the level.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Puerto Rico compares for 99341

Across 109 of 109 payment localities, the office rate for 99341 runs from $46.43 in Arkansas to $66.13 in Alaska. Puerto Rico pays $49.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99341 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 99341 in every payment locality

How the 99341 rate is calculated

Each of 99341’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 99341

99341 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to 99341

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 99341 has changed in Puerto Rico

Price 99341 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates