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

Reports a new patient evaluation in a home or residence when the encounter supports straightforward medical decision making or at least 15 minutes of total time.

CMS RVU26DEffective Oct 1, 2026One payment locality56.1K Medicare services in 2024

In Utah, Medicare pays $48.10 for 99341 in the office.

$48.10Office (non-facility)
Not available in this settingHospital or facility
−2.0%vs the national office rate ($49.10)

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.

We’ll open 99341 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 99341 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Utah 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. Utah pays $48.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

99341 in Utah vs other payment areas
  1. Utah · this page$48.10
  2. Los Angeles, CA · California$52.65+$4.55
  3. Washington, DC area · District of Columbia$53.61+$5.51
  4. Miami, FL · Florida$51.73+$3.63
  5. Chicago, IL · Illinois$51.14+$3.04
  6. Manhattan, NY · New York$54.35+$6.25
  7. Alaska · Alaska$66.13+$18.03

Other areas in Utah first, then benchmark localities. Bars start at $0.

Every other payment area

99341 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$46.72—
ArkansasArkansas$46.43—
ArizonaArizona$48.46—
Bakersfield, CACalifornia$50.59—
Chico, CACalifornia$50.43—
El Centro, CACalifornia$50.43—
Fresno, CACalifornia$50.43—
Hanford, CACalifornia$50.43—

99341 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$46.43

$66.13

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
99341 office rate range by state
State / territoryOffice rate rangeLocalities
AK$66.131
AL$46.721
AR$46.431
AZ$48.461
CA$50.43–$58.5029
CO$50.131
CT$51.151
DC$53.611
DE$48.961
FL$49.14–$51.733
GA$47.80–$49.702
GU$50.501
HI$50.501
IA$47.071
ID$47.251
IL$48.60–$51.144
IN$47.361
KS$47.061
KY$47.391
LA$47.39–$48.432
MA$50.12–$53.112
MD$49.50–$53.613
ME$47.45–$48.482
MI$48.02–$49.512
MN$48.581
MO$47.08–$48.413
MS$46.751
MT$49.101
NC$47.651
ND$48.311
NE$47.161
NH$49.521
NJ$51.89–$53.592
NM$48.181
NV$48.891
NY$47.98–$55.105
OH$47.861
OK$47.261
OR$48.65–$50.892
PA$47.85–$50.552
PR$49.241
RI$50.061
SC$47.811
SD$48.211
TN$47.171
TX$47.71–$49.858
UT$48.101
VA$48.46–$53.612
VI$49.241
VT$48.301
WA$49.98–$53.792
WI$47.571
WV$47.791
WY$48.751

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.

How the rate is built · 99341

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.00

1.00 RVUs× 1.000 GPCI

Practice expense0.43

0.43 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

1.4700

Conversion factor

$33.4009

Medicare rate

$49.10

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

13,054

Code
99341
Physician work
1.00
Practice expense
0.43
Malpractice
0.04

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 99341 in Utah
ComponentRVULocality factorAdjusted
Physician work1.00× 1.0001.0000
Practice expense0.43× 0.9400.4042
Malpractice0.04× 0.8980.0359
Total RVUs1.4401
Conversion factor× 33.4009

Office rate, Utah$48.10

Office: (1 × 1 + 0.43 × 0.94 + 0.04 × 0.898) × $33.4009 = $48.10

Open 99341 in the RVU calculator

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.

Place of service · 99341

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$49.10

Higher because the practice carries its own overhead.

How 99341 has changed in Utah

99341 · Office / nonfacility

$48.10

Effective 2026-10-01

The base rate is $1.57 higher than on 2025-10-01, moving from $46.53 to $48.10 (3.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $46.53changed to$48.10

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $47.88changed to$46.53

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.42 changed to 0.43
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $47.10changed to$47.88

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $47.61changed to$47.10

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.40 changed to 0.42
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930
  5. January 1, 2023

    RVU23A

    $52.24changed to$47.61

    • Conversion factor 34.6062 changed to 33.8872
    • Work RVU 1.01 changed to 1.00
    • Practice expense RVU 0.50 changed to 0.40
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $52.67changed to$52.24

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $54.21changed to$52.67

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.48 changed to 0.50
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $55.37changed to$54.21

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.07 changed to 0.05
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $54.98changed to$55.37

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.47 changed to 0.48

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $54.78changed to$54.98

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $54.61changed to$54.78

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $54.38changed to$54.61

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $54.11changed to$54.38

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $54.50changed to$54.11

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.07 changed to 0.06
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $52.88changed to$54.50

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.51 changed to 0.47
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $52.88

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$48.10Not available in this settingRVU26D
2026-07-01$48.10Not available in this settingRVU26C
2026-04-01$48.10Not available in this settingRVU26B
2026-01-01$48.10Not available in this settingRVU26A
2025-10-01$46.53Not available in this settingRVU25D
2025-07-01$46.53Not available in this settingRVU25C
2025-04-01$46.53Not available in this settingRVU25B
2025-01-01$46.53Not available in this settingRVU25A
2024-10-01$47.88Not available in this settingRVU24D
2024-07-01$47.88Not available in this settingRVU24C
2024-04-01$47.88Not available in this settingRVU24B
2024-03-09$47.88Not available in this settingRVU24AR
2024-01-01$47.10Not available in this settingRVU24A
2023-10-01$47.61Not available in this settingRVU23D
2023-07-01$47.61Not available in this settingRVU23C
2023-04-01$47.61Not available in this settingRVU23B
2023-01-01$47.61Not available in this settingRVU23A
2022-10-01$52.24Not available in this settingRVU22D
2022-07-01$52.24Not available in this settingRVU22C
2022-04-01$52.24Not available in this settingRVU22B
2022-01-01$52.24Not available in this settingRVU22A
2021-10-01$52.67Not available in this settingRVU21D
2021-07-01$52.67Not available in this settingRVU21C
2021-04-01$52.67Not available in this settingRVU21B
2021-01-01$52.67Not available in this settingRVU21A
2020-10-01$54.21Not available in this settingRVU20D
2020-07-01$54.21Not available in this settingRVU20C
2020-04-01$54.21Not available in this settingRVU20B
2020-01-01$54.21Not available in this settingRVU20A
2019-10-01$55.37Not available in this settingRVU19D
2019-07-01$55.37Not available in this settingRVU19C
2019-04-01$55.37Not available in this settingRVU19B
2019-01-01$55.37Not available in this settingRVU19A
2018-10-01$54.98Not available in this settingRVU18D
2018-07-01$54.98Not available in this settingRVU18C
2018-04-01$54.98Not available in this settingRVU18B
2018-01-01$54.98Not available in this settingRVU18AR1
2017-10-01$54.78Not available in this settingRVU17D
2017-07-01$54.78Not available in this settingRVU17C
2017-04-01$54.78Not available in this settingRVU17B
2017-01-01$54.78Not available in this settingRVU17A
2016-10-01$54.61Not available in this settingRVU16D
2016-07-01$54.61Not available in this settingRVU16C
2016-04-01$54.61Not available in this settingRVU16B
2016-01-01$54.61Not available in this settingRVU16A
2015-10-01$54.38Not available in this settingRVU15D
2015-07-01$54.38Not available in this settingRVU15C
2015-04-01$54.11Not available in this settingRVU15B
2015-01-01$54.11Not available in this settingRVU15A
2014-10-01$54.50Not available in this settingRVU14D
2014-07-01$54.50Not available in this settingRVU14C
2014-04-01$54.50Not available in this settingRVU14B
2014-01-01$54.50Not available in this settingRVU14A
2013-10-01$52.88Not available in this settingRVU13D
2013-07-01$52.88Not available in this settingRVU13C
2013-04-01$52.88Not available in this settingRVU13B
2013-01-01$52.88Not available in this settingRVU13AR

Price 99341 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

99341 billing questions

When should 99341 be chosen instead of 99342?

Use 99341 for straightforward medical decision making or at least 15 minutes when selecting by time. Choose 99342 when the encounter supports low medical decision making or its applicable time threshold.

What makes the patient new for this code?

The patient has not received a professional service in the preceding three years from the reporting clinician or another clinician of the same specialty and subspecialty in the same group.

Can the code be selected by time rather than medical decision making?

Yes. Document at least 15 minutes of qualifying total time on the date of the encounter when using time to select 99341.

Is 99341 used for an initial nursing facility visit?

No. It is for an evaluation in a home or residence. Initial nursing facility care is reported from the nursing facility E/M code family.

What should the note support?

Document the residence setting, the patient's new-patient status, the medically appropriate evaluation, and the straightforward MDM or qualifying total time used to select the code.

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

Show the CMS file lines behind this rate
RVUs for 99341PPRRVU2026_Oct_nonQPP.csv, line 13,054 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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