$129.26
99214 is a moderate-level established patient office or outpatient visit. For a subsequent visit while the patient is receiving hospital inpatient or observation care, use 99232 when its MDM or time requirement is met.
On this page
CMS RVU26D · Effective 2026-10-01
99232 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$68.99
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Evaluation and management
About 99232: Subsequent hospital inpatient or observation visit, moderate complexity
Report a subsequent inpatient or observation visit when the practitioner's follow-up care meets moderate medical decision making or at least 35 minutes of total time.
A physician or qualified nonphysician practitioner reports this level when following a patient receiving hospital inpatient or observation care. Hospitalists, internists, cardiologists, and nephrologists may use it while managing conditions such as heart failure, pneumonia, or acute kidney injury. The condition alone does not determine the level; the documented work must support moderate medical decision making (MDM), or the practitioner must meet the time requirement. Medicare reports this code predominantly in the facility setting.
Select 99232 by moderate MDM or at least 35 minutes of the billing practitioner's total time on the date of service, including qualifying work away from the unit. When selecting by MDM, document the problems addressed, data reviewed or analyzed, and management risk; at least two MDM elements must reach the moderate level. When selecting by time, document the total time. Practitioners in the same specialty and group generally report one hospital E/M visit per patient per day. For a split or shared visit by a physician and nonphysician practitioner in the same group, the practitioner who performed the substantive portion bills with modifier FS.
Where the value comes from
- Work RVU1.59 · 75%
- Practice expense (office) RVU0.40 · 19%
- Malpractice RVU0.12 · 6%
34.7M
Medicare services in 2024 · #6 by national volume
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.
99232 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
99222 covers initial hospital care at moderate MDM or at least 55 minutes. 99232 applies to subsequent care after that practitioner or same-specialty group has provided initial hospital care.
No office rate
Both describe subsequent hospital care. Use 99233 for high MDM or at least 50 minutes; use 99232 for moderate MDM or at least 35 minutes.
99254
No office rateIp/obs cnsltj new/est mod 60
99254 describes a moderate-level inpatient or observation consultation for payers that recognize consultation codes. Medicare does not pay consultation codes; select subsequent hospital care by the documented MDM or time for a follow-up visit.
The same code, a different location
How does Beaumont compare?
99232 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 99232
Office
Unavailable
Facility
$69.41
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 99232
Office
Unavailable
Facility
$73.75
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 99232
Office
Unavailable
Facility
$76.17
No comparable office rate is available.
Miami
Florida · 99232
Office
Unavailable
Facility
$77.15
No comparable office rate is available.
Chicago
Illinois · 99232
Office
Unavailable
Facility
$76.10
No comparable office rate is available.
Manhattan
New York · 99232
Office
Unavailable
Facility
$78.39
No comparable office rate is available.
Alaska*
Alaska · 99232
Office
Unavailable
Facility
$96.10
No comparable office rate is available.
Alabama
Alabama · 99232
Office
Unavailable
Facility
$67.07
No comparable office rate is available.
Arkansas
Arkansas · 99232
Office
Unavailable
Facility
$66.65
No comparable office rate is available.
Arizona
Arizona · 99232
Office
Unavailable
Facility
$69.48
No comparable office rate is available.
Bakersfield
California · 99232
Office
Unavailable
Facility
$71.20
No comparable office rate is available.
Chico
California · 99232
Office
Unavailable
Facility
$70.80
No comparable office rate is available.
El Centro
California · 99232
Office
Unavailable
Facility
$70.82
No comparable office rate is available.
Fresno
California · 99232
Office
Unavailable
Facility
$70.80
No comparable office rate is available.
Hanford-Corcoran
California · 99232
Office
Unavailable
Facility
$70.80
No comparable office rate is available.
Madera
California · 99232
Office
Unavailable
Facility
$70.80
No comparable office rate is available.
Merced
California · 99232
Office
Unavailable
Facility
$70.80
No comparable office rate is available.
Modesto
California · 99232
Office
Unavailable
Facility
$70.80
No comparable office rate is available.
Napa
California · 99232
Office
Unavailable
Facility
$76.10
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 99232
Office
Unavailable
Facility
$72.88
No comparable office rate is available.
Redding
California · 99232
Office
Unavailable
Facility
$70.80
No comparable office rate is available.
Rest Of California
California · 99232
Office
Unavailable
Facility
$70.80
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 99232
Office
Unavailable
Facility
$72.13
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 99232
Office
Unavailable
Facility
$72.71
No comparable office rate is available.
Salinas
California · 99232
Office
Unavailable
Facility
$72.39
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 99232
Office
Unavailable
Facility
$72.85
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 99232
Office
Unavailable
Facility
$78.83
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 99232
Office
Unavailable
Facility
$78.69
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 99232
Office
Unavailable
Facility
$80.36
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 99232
Office
Unavailable
Facility
$79.81
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 99232
Office
Unavailable
Facility
$71.38
No comparable office rate is available.
Santa Cruz-Watsonville
California · 99232
Office
Unavailable
Facility
$72.60
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 99232
Office
Unavailable
Facility
$72.32
No comparable office rate is available.
Santa Rosa-Petaluma
California · 99232
Office
Unavailable
Facility
$73.26
No comparable office rate is available.
Stockton
California · 99232
Office
Unavailable
Facility
$70.80
No comparable office rate is available.
Vallejo
California · 99232
Office
Unavailable
Facility
$75.90
No comparable office rate is available.
Visalia
California · 99232
Office
Unavailable
Facility
$70.80
No comparable office rate is available.
Yuba City
California · 99232
Office
Unavailable
Facility
$70.80
No comparable office rate is available.
Colorado
Colorado · 99232
Office
Unavailable
Facility
$71.09
No comparable office rate is available.
Connecticut
Connecticut · 99232
Office
Unavailable
Facility
$73.41
No comparable office rate is available.
Delaware
Delaware · 99232
Office
Unavailable
Facility
$70.18
No comparable office rate is available.
Fort Lauderdale
Florida · 99232
Office
Unavailable
Facility
$73.89
No comparable office rate is available.
Rest Of Florida
Florida · 99232
Office
Unavailable
Facility
$71.90
No comparable office rate is available.
Atlanta
Georgia · 99232
Office
Unavailable
Facility
$71.65
No comparable office rate is available.
Rest Of Georgia
Georgia · 99232
Office
Unavailable
Facility
$69.80
No comparable office rate is available.
Hawaii, Guam
Hawaii · 99232
Office
Unavailable
Facility
$70.62
No comparable office rate is available.
Iowa
Iowa · 99232
Office
Unavailable
Facility
$66.92
No comparable office rate is available.
Idaho
Idaho · 99232
Office
Unavailable
Facility
$67.29
No comparable office rate is available.
East St. Louis
Illinois · 99232
Office
Unavailable
Facility
$73.47
No comparable office rate is available.
Rest Of Illinois
Illinois · 99232
Office
Unavailable
Facility
$71.57
No comparable office rate is available.
Suburban Chicago
Illinois · 99232
Office
Unavailable
Facility
$74.30
No comparable office rate is available.
Indiana
Indiana · 99232
Office
Unavailable
Facility
$67.44
No comparable office rate is available.
Kansas
Kansas · 99232
Office
Unavailable
Facility
$67.21
No comparable office rate is available.
Kentucky
Kentucky · 99232
Office
Unavailable
Facility
$68.65
No comparable office rate is available.
New Orleans
Louisiana · 99232
Office
Unavailable
Facility
$70.23
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 99232
Office
Unavailable
Facility
$68.77
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 99232
Office
Unavailable
Facility
$74.80
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 99232
Office
Unavailable
Facility
$71.22
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 99232
Office
Unavailable
Facility
$73.25
No comparable office rate is available.
Rest Of Maryland
Maryland · 99232
Office
Unavailable
Facility
$70.84
No comparable office rate is available.
Rest Of Maine
Maine · 99232
Office
Unavailable
Facility
$67.89
No comparable office rate is available.
Southern Maine
Maine · 99232
Office
Unavailable
Facility
$68.88
No comparable office rate is available.
Detroit
Michigan · 99232
Office
Unavailable
Facility
$72.76
No comparable office rate is available.
Rest Of Michigan
Michigan · 99232
Office
Unavailable
Facility
$69.83
No comparable office rate is available.
Minnesota
Minnesota · 99232
Office
Unavailable
Facility
$68.04
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 99232
Office
Unavailable
Facility
$69.57
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 99232
Office
Unavailable
Facility
$69.84
No comparable office rate is available.
Rest Of Missouri
Missouri · 99232
Office
Unavailable
Facility
$68.53
No comparable office rate is available.
Mississippi
Mississippi · 99232
Office
Unavailable
Facility
$67.57
No comparable office rate is available.
Montana**
Montana · 99232
Office
Unavailable
Facility
$70.47
No comparable office rate is available.
North Carolina
North Carolina · 99232
Office
Unavailable
Facility
$68.13
No comparable office rate is available.
North Dakota**
North Dakota · 99232
Office
Unavailable
Facility
$68.10
No comparable office rate is available.
Nebraska
Nebraska · 99232
Office
Unavailable
Facility
$66.95
No comparable office rate is available.
New Hampshire
New Hampshire · 99232
Office
Unavailable
Facility
$70.52
No comparable office rate is available.
Northern Nj
New Jersey · 99232
Office
Unavailable
Facility
$76.23
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 99232
Office
Unavailable
Facility
$74.22
No comparable office rate is available.
New Mexico
New Mexico · 99232
Office
Unavailable
Facility
$70.17
No comparable office rate is available.
Nevada**
Nevada · 99232
Office
Unavailable
Facility
$69.82
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 99232
Office
Unavailable
Facility
$79.83
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 99232
Office
Unavailable
Facility
$74.98
No comparable office rate is available.
Queens
New York · 99232
Office
Unavailable
Facility
$78.08
No comparable office rate is available.
Rest Of New York
New York · 99232
Office
Unavailable
Facility
$68.62
No comparable office rate is available.
Ohio
Ohio · 99232
Office
Unavailable
Facility
$69.35
No comparable office rate is available.
Oklahoma
Oklahoma · 99232
Office
Unavailable
Facility
$68.15
No comparable office rate is available.
Portland
Oregon · 99232
Office
Unavailable
Facility
$71.78
No comparable office rate is available.
Rest Of Oregon
Oregon · 99232
Office
Unavailable
Facility
$69.23
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 99232
Office
Unavailable
Facility
$72.75
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 99232
Office
Unavailable
Facility
$69.16
No comparable office rate is available.
Puerto Rico
Puerto Rico · 99232
Office
Unavailable
Facility
$70.56
No comparable office rate is available.
Rhode Island
Rhode Island · 99232
Office
Unavailable
Facility
$71.49
No comparable office rate is available.
South Carolina
South Carolina · 99232
Office
Unavailable
Facility
$68.86
No comparable office rate is available.
South Dakota**
South Dakota · 99232
Office
Unavailable
Facility
$67.81
No comparable office rate is available.
Tennessee
Tennessee · 99232
Office
Unavailable
Facility
$67.40
No comparable office rate is available.
Utah
Utah · 99232
Office
Unavailable
Facility
$69.27
No comparable office rate is available.
Virginia
Virginia · 99232
Office
Unavailable
Facility
$69.07
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 99232
Office
Unavailable
Facility
$70.56
No comparable office rate is available.
Vermont
Vermont · 99232
Office
Unavailable
Facility
$68.36
No comparable office rate is available.
Rest Of Washington
Washington · 99232
Office
Unavailable
Facility
$70.92
No comparable office rate is available.
Seattle (King Cnty)
Washington · 99232
Office
Unavailable
Facility
$75.43
No comparable office rate is available.
Wisconsin
Wisconsin · 99232
Office
Unavailable
Facility
$67.14
No comparable office rate is available.
West Virginia
West Virginia · 99232
Office
Unavailable
Facility
$70.45
No comparable office rate is available.
Wyoming**
Wyoming · 99232
Office
Unavailable
Facility
$69.43
No comparable office rate is available.
See how rates vary across the country
99232 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 99232 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$75.89
$68.99 × 110% = $75.89
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 99232 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
13,022
- Code
- 99232
- Physician work
- 1.59
- Practice expense
- 0.40
- Malpractice
- 0.12
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.59 | × 1.000 | 1.5900 |
| Practice expense | 0.40 | × 0.910 | 0.3640 |
| Malpractice | 0.12 | × 0.929 | 0.1115 |
| Total RVUs | 2.0655 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$68.99
Open 99232 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.59 | 1 |
| Practice expense | 0.4 | 0.91 |
| Malpractice | 0.12 | 0.929 |
(1.59 × 1 + 0.4 × 0.91 + 0.12 × 0.929) × $33.4009 = $68.99
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
99232 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $68.99 | RVU26D |
| 2026-07-01 | Not available in this setting | $68.99 | RVU26C |
| 2026-04-01 | Not available in this setting | $68.99 | RVU26B |
| 2026-01-01 | Not available in this setting | $68.99 | RVU26A |
| 2025-10-01 | Not available in this setting | $74.11 | RVU25D |
| 2025-07-01 | Not available in this setting | $74.11 | RVU25C |
| 2025-04-01 | Not available in this setting | $74.11 | RVU25B |
| 2025-01-01 | Not available in this setting | $74.11 | RVU25A |
99232 billing questions
How do I choose 99232 over 99231 or 99233?
Select the level supported by MDM or total time: 99231 for straightforward or low MDM or at least 25 minutes, 99232 for moderate MDM or at least 35 minutes, and 99233 for high MDM or at least 50 minutes. When selecting by time, report the highest level whose minimum is met.
Can 99232 be reported for an observation patient?
Yes. Subsequent hospital care codes cover both inpatient and observation status; the former separate subsequent observation codes were deleted.
What time counts toward the 35 minutes?
Count the billing practitioner's time on the date of service for work such as chart review, examination, medically appropriate family discussion, orders, care coordination, and documentation. Exclude clinical staff time and time spent on separately reported services.
Can prolonged services be added to 99232?
No. Among subsequent hospital care levels, prolonged time is reported only with 99233 when the applicable requirements are met. Select 99233 first if the documented time supports it.
How does a specialist report Medicare hospital follow-up visits?
Medicare does not pay inpatient consultation codes. After the specialist's initial hospital care visit, select 99231–99233 for follow-up care; use 99232 when moderate MDM or at least 35 minutes supports it.
Can 99232 be billed on the patient's discharge date?
A practitioner performing discharge-day management reports 99238 or 99239 instead of a subsequent care visit. A different specialist may report 99232 for a separate, medically necessary follow-up visit on that date.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
13,01999222,,1st hosp ip/obs moderate 55,A,,2.60,0.67,NA,0.67,,0.23,3.50,3.50,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02099223,,1st hosp ip/obs high 75,A,,3.50,0.90,NA,0.90,,0.28,4.68,4.68,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02199231,,Sbsq hosp ip/obs sf/low 25,A,,1.00,0.24,NA,0.24,,0.08,1.32,1.32,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02299232,,Sbsq hosp ip/obs moderate 35,A,,1.59,0.40,NA,0.40,,0.12,2.11,2.11,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02399233,,Sbsq hosp ip/obs high 50,A,,2.40,0.62,NA,0.62,,0.18,3.20,3.20,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02499234,,Hosp ip/obs sm dt sf/low 45,A,,2.00,0.46,NA,0.46,,0.18,2.64,2.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,02599235,,Hosp ip/obs same date mod 70,A,,3.24,0.79,NA,0.79,,0.25,4.28,4.28,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858
10004412,TX,28,FORT WORTH,1.009,0.986,0.871