Medicare Fee Schedule California (2026): Rates by Locality
2026 Medicare physician fee schedule for California: 29 payment localities, where 99214 pays $140.94–$170.02 in the office. Any CPT code by city or ZIP.
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Rates by payment locality
| Payment locality | 99214 | 99213 | 97110 | 97530 |
|---|---|---|---|---|
| Bakersfield, CA | $141.41Facility $85.40 | $99.52Facility $58.16 | $30.53Facility — | $37.14Facility — |
| Chico, CA | $140.94Facility $84.93 | $99.22Facility $57.85 | $30.47Facility — | $37.09Facility — |
| El Centro, CA | $140.96Facility $84.96 | $99.23Facility $57.87 | $30.48Facility — | $37.09Facility — |
| Fresno, CA | $140.94Facility $84.93 | $99.22Facility $57.85 | $30.47Facility — | $37.09Facility — |
| Hanford, CA | $140.94Facility $84.93 | $99.22Facility $57.85 | $30.47Facility — | $37.09Facility — |
| Los Angeles, CA | $148.89Facility $88.44 | $104.89Facility $60.24 | $32.07Facility — | $39.23Facility — |
| Madera, CA | $140.94Facility $84.93 | $99.22Facility $57.85 | $30.47Facility — | $37.09Facility — |
| Merced, CA | $140.94Facility $84.93 | $99.22Facility $57.85 | $30.47Facility — | $37.09Facility — |
| Modesto, CA | $140.94Facility $84.93 | $99.22Facility $57.85 | $30.47Facility — | $37.09Facility — |
| Napa, CA | $158.59Facility $91.24 | $111.96Facility $62.21 | $34.20Facility — | $42.21Facility — |
| Oxnard, CA | $147.80Facility $87.39 | $104.15Facility $59.54 | $31.85Facility — | $39.00Facility — |
| Redding, CA | $140.94Facility $84.93 | $99.22Facility $57.85 | $30.47Facility — | $37.09Facility — |
| Rest of California | $140.94Facility $84.93 | $99.22Facility $57.85 | $30.47Facility — | $37.09Facility — |
| Riverside, CA | $142.49Facility $86.48 | $100.21Facility $58.85 | $30.59Facility — | $37.21Facility — |
| Sacramento, CA | $146.64Facility $87.20 | $103.31Facility $59.41 | $31.68Facility — | $38.71Facility — |
| Salinas, CA | $146.05Facility $86.82 | $102.90Facility $59.15 | $31.55Facility — | $38.56Facility — |
| San Diego, CA | $148.48Facility $87.36 | $104.68Facility $59.54 | $32.04Facility — | $39.29Facility — |
| Marin County, CA | $166.56Facility $94.50 | $117.69Facility $64.47 | $35.92Facility — | $44.50Facility — |
| San Francisco, CA | $166.40Facility $94.34 | $117.58Facility $64.37 | $35.91Facility — | $44.49Facility — |
| San Benito County, CA | $170.02Facility $96.33 | $120.13Facility $65.70 | $36.61Facility — | $45.39Facility — |
| Santa Clara County, CA | $169.37Facility $95.68 | $119.71Facility $65.29 | $36.56Facility — | $45.34Facility — |
| San Luis Obispo, CA | $143.81Facility $85.61 | $101.31Facility $58.32 | $31.06Facility — | $37.95Facility — |
| Santa Cruz, CA | $149.15Facility $87.06 | $105.19Facility $59.34 | $32.16Facility — | $39.53Facility — |
| Santa Maria, CA | $146.32Facility $86.74 | $103.11Facility $59.10 | $31.60Facility — | $38.65Facility — |
| Santa Rosa, CA | $150.59Facility $87.84 | $106.22Facility $59.87 | $32.48Facility — | $39.93Facility — |
| Stockton, CA | $140.94Facility $84.93 | $99.22Facility $57.85 | $30.47Facility — | $37.09Facility — |
| Vallejo, CA | $158.36Facility $91.01 | $111.81Facility $62.06 | $34.18Facility — | $42.19Facility — |
| Visalia, CA | $140.94Facility $84.93 | $99.22Facility $57.85 | $30.47Facility — | $37.09Facility — |
| Yuba City, CA | $140.94Facility $84.93 | $99.22Facility $57.85 | $30.47Facility — | $37.09Facility — |
Examples are selected by 2024 national office/non-facility service volume among codes with supported current PFS rates. This is not a local or specialty utilization ranking. Amounts use the current release, not historical averages. See the utilization rankings
Browse procedure codes
Your location
Start with a service family. The service performed and the documentation decide the billing code.
- Office visits
- New-patient office visits
- Established-patient office visits
- Therapeutic exercise
- Therapeutic activities
- Manual therapy
- 99214Office visitEstablished patient, moderate complexity
- 99213Office visitEstablished patient, low complexity
- 97110Therapeutic exerciseOne-on-one, each 15 minutes
- 97530Therapeutic activitiesOne-on-one, each 15 minutes
- 36415VenipunctureRoutine venous sample
- 97112Neuromuscular reeducationBalance, coordination, proprioception, timed
- 99232Subsequent hospital visitModerate MDM or 35 minutes
- 97140Manual therapyOne or more regions, each 15 minutes
- 80053Metabolic panelFourteen blood chemistry tests
- 85025Complete CBCAutomated differential
- G2211Visit complexity add-onOngoing longitudinal patient relationship
- 99233Hospital follow-up visitSubsequent day, high complexity
- 17003Actinic keratosis destructionLesions 2-14, each additional
- 88305Tissue pathology examLevel IV specimen
- 80061Lipid panelCholesterol and triglycerides
- 93010ECG interpretationInterpretation and report only
- 99309Nursing facility visitSubsequent, moderate MDM or 30 minutes
- 83036A1c testLaboratory assay
- 84443TSH testThyroid-stimulating hormone
- 99215Office visitEstablished patient, high complexity
- 98941Chiropractic adjustmentSpinal, 3-4 regions
- 87798Infectious agent testAmplified probe, each organism
- 71045Chest X-raySingle view
- 99204Office visitNew patient, moderate complexity
- 99308Nursing facility visitSubsequent visit, low MDM
- G0439Annual wellness visitSubsequent visit
- 93000Electrocardiogram (ECG)Complete: tracing plus interpretation
- 99223Initial hospital visitHigh decision making or 75 minutes
- 92014Comprehensive eye examEstablished patient
- 99285ED visitHigh complexity decision making
- 99203New patient visitLow MDM or 30 minutes
- 95004Allergy skin prick testPercutaneous, immediate reaction, per test
- 66984Cataract surgeryStandard, without ECP or drainage device
- 92134Retinal OCTPosterior segment, retina
- 96372SC/IM injectionTherapeutic, prophylactic, or diagnostic
- 99490Chronic care managementClinical staff, first 20 minutes
- 90837Psychotherapy60 minutes, no E/M
- 93306Echocardiogram (TTE)Complete, with spectral and color Doppler
- 99212Office visitEstablished patient, straightforward
- 71046Chest X-rayTwo views
- 82306Vitamin D test25-hydroxy level
- 81001UrinalysisAutomated with microscopy
- 17000Premalignant lesion destructionFirst lesion
- 77067Screening mammogramBilateral, CAD included
- 99222Initial hospital visitModerate MDM or 55 minutes
- 95165Allergy extract preparationMultidose vials, per dose
- 77063Screening breast tomosynthesisBilateral screening add-on
- 99291Critical careInitial service, at least 30 minutes
- 81003UrinalysisAutomated, without microscopy
- 82570Urine creatinineUrine specimen
- 84439Free T4Unbound thyroxine
- G0283Electrical stimulationUnattended, other than wound care
- 99239Hospital discharge dayMore than 30 minutes
- 11721Nail debridementSix or more nails
- 80048Basic metabolic panelTotal calcium
- 97116Gait trainingEach 15 minutes, one-on-one
- 70450Head CTWithout contrast
- 20610Joint injectionMajor joint or bursa, no ultrasound
- 82607Vitamin B12Level assay
- 99284Emergency department visitModerate medical decision making
Browse payment localities
Browse cities and communities in this state
- Bakersfield, CA · CA
- Chico, CA · CA
- El Centro, CA · CA
- Fresno, CA · CA
- Hanford, CA · CA
- Los Angeles, CA · CA
- Madera, CA · CA
- Merced, CA · CA
- Modesto, CA · CA
- Napa, CA · CA
- Oxnard, CA · CA
- Redding, CA · CA
- Rest of California · CA
- Riverside, CA · CA
- Sacramento, CA · CA
- Salinas, CA · CA
- San Diego, CA · CA
- Marin County, CA · CA
- San Francisco, CA · CA
- San Benito County, CA · CA
- Santa Clara County, CA · CA
- San Luis Obispo, CA · CA
- Santa Cruz, CA · CA
- Santa Maria, CA · CA
- Santa Rosa, CA · CA
- Stockton, CA · CA
- Vallejo, CA · CA
- Visalia, CA · CA
- Yuba City, CA · CA
Explore rates by specialty
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
