Use 94010 for conventional spirometry testing, typically performed during a clinical encounter. 94014 concerns patient-triggered recordings transmitted over a 30-day monitoring period.
On this page
CMS RVU26D · Effective 2026-10-01
94014 in Madera
Office / nonfacility
$63.62
Base rate per service
Facility setting
Not available in this setting
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.
Pulmonary function testing
About 94014: Patient-initiated spirometry monitoring
Reports patient-triggered spirometry recorded and transmitted during a 30-day monitoring period when serial home breathing measurements are needed.
This service covers a patient using a spirometer outside the clinic to record breathing measurements and transmit them during a 30-day monitoring period. It is used when the treating clinician needs serial patient-generated readings rather than a single supervised office test, such as monitoring changing airflow symptoms at home. Pulmonologists and other clinicians managing respiratory conditions may arrange this type of monitoring.
Report the service for the applicable 30-day period, with documentation supporting the monitoring period and the recordings or transmissions. CMS classifies 94014 as a global-test-only code: if billing only the professional or technical portion, use the separately designated component code rather than appending modifier 26 or TC to 94014. Distinguish this service from a conventional spirometry test performed during a clinic visit and from codes for analysis or review of patient-recorded data.
CMS billing rules for 94014
- Professional and technical components
- Global-test-only code: separate codes describe the professional and technical components.
Where the value comes from
- Work RVU0.51 · 28%
- Practice expense (office) RVU1.25 · 70%
- Malpractice RVU0.03 · 2%
227
Medicare services in 2024 · #4216 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.
94014 compared with similar codes
Office rates for Madera, from the same CMS release.
94015 includes physician analysis, interpretation, and reporting with patient-initiated spirometry. 94014 addresses the recording and transmission service.
94016 is for professional review and interpretation of patient-recorded spirometry; 94014 addresses the recording and transmission portion.
The same code, a different location
How does Madera compare?
In Bakersfield, the office rate for 94014 is $63.73—$0.11 higher than the $63.62 rate in Madera. Both use the same code, release and participation basis.
94014 across payment areas
Same release and payment basis · bars start at $0
Madera · This locality
$63.62
$63.73
$0.11 higher than Madera
$63.62
The same base rate than Madera
$63.63
$0.01 higher than Madera
$63.62
The same base rate than Madera
$63.62
The same base rate than Madera
$4.17 higher than Madera
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 94014 ranges from $53.41 in Arkansas to $79.65 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
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
Merced
California · 94014
Office
$63.62
Facility
Unavailable
The same base rate than Madera for the office setting.
Modesto
California · 94014
Office
$63.62
Facility
Unavailable
The same base rate than Madera for the office setting.
Napa
California · 94014
Office
$73.64
Facility
Unavailable
$10.02 higher than Madera for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 94014
Office
$67.49
Facility
Unavailable
$3.87 higher than Madera for the office setting.
Redding
California · 94014
Office
$63.62
Facility
Unavailable
The same base rate than Madera for the office setting.
Rest Of California
California · 94014
Office
$63.62
Facility
Unavailable
The same base rate than Madera for the office setting.
Riverside-San Bernardino-Ontario
California · 94014
Office
$63.96
Facility
Unavailable
$0.34 higher than Madera for the office setting.
Sacramento-Roseville-Folsom
California · 94014
Office
$66.74
Facility
Unavailable
$3.12 higher than Madera for the office setting.
Salinas
California · 94014
Office
$66.49
Facility
Unavailable
$2.87 higher than Madera for the office setting.
San Diego-Chula Vista-Carlsbad
California · 94014
Office
$68.02
Facility
Unavailable
$4.40 higher than Madera for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 94014
Office
$77.98
Facility
Unavailable
$14.36 higher than Madera for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 94014
Office
$77.95
Facility
Unavailable
$14.33 higher than Madera for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 94014
Office
$79.65
Facility
Unavailable
$16.03 higher than Madera for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 94014
Office
$79.51
Facility
Unavailable
$15.89 higher than Madera for the office setting.
San Luis Obispo-Paso Robles
California · 94014
Office
$65.42
Facility
Unavailable
$1.80 higher than Madera for the office setting.
Santa Cruz-Watsonville
California · 94014
Office
$68.66
Facility
Unavailable
$5.04 higher than Madera for the office setting.
Santa Maria-Santa Barbara
California · 94014
Office
$66.73
Facility
Unavailable
$3.11 higher than Madera for the office setting.
Santa Rosa-Petaluma
California · 94014
Office
$69.35
Facility
Unavailable
$5.73 higher than Madera for the office setting.
Stockton
California · 94014
Office
$63.62
Facility
Unavailable
The same base rate than Madera for the office setting.
Vallejo
California · 94014
Office
$73.60
Facility
Unavailable
$9.98 higher than Madera for the office setting.
Visalia
California · 94014
Office
$63.62
Facility
Unavailable
The same base rate than Madera for the office setting.
Yuba City
California · 94014
Office
$63.62
Facility
Unavailable
The same base rate than Madera for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 94014
Office
$68.25
Facility
Unavailable
$4.63 higher than Madera for the office setting.
Miami
Florida · 94014
Office
$63.03
Facility
Unavailable
$0.59 lower than Madera for the office setting.
Chicago
Illinois · 94014
Office
$61.41
Facility
Unavailable
$2.21 lower than Madera for the office setting.
Manhattan
New York · 94014
Office
$68.23
Facility
Unavailable
$4.61 higher than Madera for the office setting.
Alaska*
Alaska · 94014
Office
$70.57
Facility
Unavailable
$6.95 higher than Madera for the office setting.
Alabama
Alabama · 94014
Office
$54.13
Facility
Unavailable
$9.49 lower than Madera for the office setting.
Arkansas
Arkansas · 94014
Office
$53.41
Facility
Unavailable
$10.21 lower than Madera for the office setting.
Arizona
Arizona · 94014
Office
$58.35
Facility
Unavailable
$5.27 lower than Madera for the office setting.
Colorado
Colorado · 94014
Office
$62.44
Facility
Unavailable
$1.18 lower than Madera for the office setting.
Connecticut
Connecticut · 94014
Office
$63.55
Facility
Unavailable
$0.07 lower than Madera for the office setting.
Delaware
Delaware · 94014
Office
$59.27
Facility
Unavailable
$4.35 lower than Madera for the office setting.
Fort Lauderdale
Florida · 94014
Office
$61.14
Facility
Unavailable
$2.48 lower than Madera for the office setting.
Rest Of Florida
Florida · 94014
Office
$58.45
Facility
Unavailable
$5.17 lower than Madera for the office setting.
Atlanta
Georgia · 94014
Office
$60.71
Facility
Unavailable
$2.91 lower than Madera for the office setting.
Rest Of Georgia
Georgia · 94014
Office
$55.47
Facility
Unavailable
$8.15 lower than Madera for the office setting.
Hawaii, Guam
Hawaii · 94014
Office
$65.09
Facility
Unavailable
$1.47 higher than Madera for the office setting.
Iowa
Iowa · 94014
Office
$55.63
Facility
Unavailable
$7.99 lower than Madera for the office setting.
Idaho
Idaho · 94014
Office
$55.92
Facility
Unavailable
$7.70 lower than Madera for the office setting.
East St. Louis
Illinois · 94014
Office
$57.46
Facility
Unavailable
$6.16 lower than Madera for the office setting.
Rest Of Illinois
Illinois · 94014
Office
$56.72
Facility
Unavailable
$6.90 lower than Madera for the office setting.
Suburban Chicago
Illinois · 94014
Office
$61.81
Facility
Unavailable
$1.81 lower than Madera for the office setting.
Indiana
Indiana · 94014
Office
$56.22
Facility
Unavailable
$7.40 lower than Madera for the office setting.
Kansas
Kansas · 94014
Office
$55.28
Facility
Unavailable
$8.34 lower than Madera for the office setting.
Kentucky
Kentucky · 94014
Office
$55.07
Facility
Unavailable
$8.55 lower than Madera for the office setting.
New Orleans
Louisiana · 94014
Office
$57.46
Facility
Unavailable
$6.16 lower than Madera for the office setting.
Rest Of Louisiana
Louisiana · 94014
Office
$54.94
Facility
Unavailable
$8.68 lower than Madera for the office setting.
Metropolitan Boston
Massachusetts · 94014
Office
$68.48
Facility
Unavailable
$4.86 higher than Madera for the office setting.
Rest Of Massachusetts
Massachusetts · 94014
Office
$62.07
Facility
Unavailable
$1.55 lower than Madera for the office setting.
Baltimore/Surr. Cntys
Maryland · 94014
Office
$63.35
Facility
Unavailable
$0.27 lower than Madera for the office setting.
Rest Of Maryland
Maryland · 94014
Office
$60.38
Facility
Unavailable
$3.24 lower than Madera for the office setting.
Rest Of Maine
Maine · 94014
Office
$56.07
Facility
Unavailable
$7.55 lower than Madera for the office setting.
Southern Maine
Maine · 94014
Office
$59.04
Facility
Unavailable
$4.58 lower than Madera for the office setting.
Detroit
Michigan · 94014
Office
$59.01
Facility
Unavailable
$4.61 lower than Madera for the office setting.
Rest Of Michigan
Michigan · 94014
Office
$56.28
Facility
Unavailable
$7.34 lower than Madera for the office setting.
Minnesota
Minnesota · 94014
Office
$60.29
Facility
Unavailable
$3.33 lower than Madera for the office setting.
Metropolitan Kansas City
Missouri · 94014
Office
$57.22
Facility
Unavailable
$6.40 lower than Madera for the office setting.
Metropolitan St. Louis
Missouri · 94014
Office
$57.79
Facility
Unavailable
$5.83 lower than Madera for the office setting.
Rest Of Missouri
Missouri · 94014
Office
$54.00
Facility
Unavailable
$9.62 lower than Madera for the office setting.
Mississippi
Mississippi · 94014
Office
$53.72
Facility
Unavailable
$9.90 lower than Madera for the office setting.
Montana**
Montana · 94014
Office
$59.79
Facility
Unavailable
$3.83 lower than Madera for the office setting.
North Carolina
North Carolina · 94014
Office
$56.63
Facility
Unavailable
$6.99 lower than Madera for the office setting.
North Dakota**
North Dakota · 94014
Office
$59.19
Facility
Unavailable
$4.43 lower than Madera for the office setting.
Nebraska
Nebraska · 94014
Office
$55.95
Facility
Unavailable
$7.67 lower than Madera for the office setting.
New Hampshire
New Hampshire · 94014
Office
$61.37
Facility
Unavailable
$2.25 lower than Madera for the office setting.
Northern Nj
New Jersey · 94014
Office
$67.61
Facility
Unavailable
$3.99 higher than Madera for the office setting.
Rest Of New Jersey
New Jersey · 94014
Office
$64.41
Facility
Unavailable
$0.79 higher than Madera for the office setting.
New Mexico
New Mexico · 94014
Office
$56.52
Facility
Unavailable
$7.10 lower than Madera for the office setting.
Nevada**
Nevada · 94014
Office
$59.66
Facility
Unavailable
$3.96 lower than Madera for the office setting.
Nyc Suburbs/Long Island
New York · 94014
Office
$69.63
Facility
Unavailable
$6.01 higher than Madera for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 94014
Office
$64.73
Facility
Unavailable
$1.11 higher than Madera for the office setting.
Queens
New York · 94014
Office
$68.92
Facility
Unavailable
$5.30 higher than Madera for the office setting.
Rest Of New York
New York · 94014
Office
$57.40
Facility
Unavailable
$6.22 lower than Madera for the office setting.
Ohio
Ohio · 94014
Office
$56.16
Facility
Unavailable
$7.46 lower than Madera for the office setting.
Oklahoma
Oklahoma · 94014
Office
$55.10
Facility
Unavailable
$8.52 lower than Madera for the office setting.
Portland
Oregon · 94014
Office
$64.44
Facility
Unavailable
$0.82 higher than Madera for the office setting.
Rest Of Oregon
Oregon · 94014
Office
$59.32
Facility
Unavailable
$4.30 lower than Madera for the office setting.
Metropolitan Philadelphia
Pennsylvania · 94014
Office
$62.00
Facility
Unavailable
$1.62 lower than Madera for the office setting.
Rest Of Pennsylvania
Pennsylvania · 94014
Office
$56.31
Facility
Unavailable
$7.31 lower than Madera for the office setting.
Puerto Rico
Puerto Rico · 94014
Office
$60.23
Facility
Unavailable
$3.39 lower than Madera for the office setting.
Rhode Island
Rhode Island · 94014
Office
$61.38
Facility
Unavailable
$2.24 lower than Madera for the office setting.
South Carolina
South Carolina · 94014
Office
$56.46
Facility
Unavailable
$7.16 lower than Madera for the office setting.
South Dakota**
South Dakota · 94014
Office
$59.12
Facility
Unavailable
$4.50 lower than Madera for the office setting.
Tennessee
Tennessee · 94014
Office
$55.52
Facility
Unavailable
$8.10 lower than Madera for the office setting.
Austin
Texas · 94014
Office
$62.13
Facility
Unavailable
$1.49 lower than Madera for the office setting.
Beaumont
Texas · 94014
Office
$55.96
Facility
Unavailable
$7.66 lower than Madera for the office setting.
Brazoria
Texas · 94014
Office
$59.33
Facility
Unavailable
$4.29 lower than Madera for the office setting.
Dallas
Texas · 94014
Office
$59.63
Facility
Unavailable
$3.99 lower than Madera for the office setting.
Fort Worth
Texas · 94014
Office
$59.23
Facility
Unavailable
$4.39 lower than Madera for the office setting.
Galveston
Texas · 94014
Office
$59.46
Facility
Unavailable
$4.16 lower than Madera for the office setting.
Houston
Texas · 94014
Office
$60.01
Facility
Unavailable
$3.61 lower than Madera for the office setting.
Rest Of Texas
Texas · 94014
Office
$57.56
Facility
Unavailable
$6.06 lower than Madera for the office setting.
Utah
Utah · 94014
Office
$57.18
Facility
Unavailable
$6.44 lower than Madera for the office setting.
Virginia
Virginia · 94014
Office
$58.78
Facility
Unavailable
$4.84 lower than Madera for the office setting.
Virgin Islands
United States Virgin Islands · 94014
Office
$60.23
Facility
Unavailable
$3.39 lower than Madera for the office setting.
Vermont
Vermont · 94014
Office
$58.88
Facility
Unavailable
$4.74 lower than Madera for the office setting.
Rest Of Washington
Washington · 94014
Office
$61.98
Facility
Unavailable
$1.64 lower than Madera for the office setting.
Seattle (King Cnty)
Washington · 94014
Office
$69.93
Facility
Unavailable
$6.31 higher than Madera for the office setting.
Wisconsin
Wisconsin · 94014
Office
$57.34
Facility
Unavailable
$6.28 lower than Madera for the office setting.
West Virginia
West Virginia · 94014
Office
$54.75
Facility
Unavailable
$8.87 lower than Madera for the office setting.
Wyoming**
Wyoming · 94014
Office
$59.53
Facility
Unavailable
$4.09 lower than Madera for the office setting.
See how rates vary across the country
94014 · 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.
$53.41
$71.64
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $70.57 | 1 |
| AL | $54.13 | 1 |
| AR | $53.41 | 1 |
| AZ | $58.35 | 1 |
| CA | $63.62–$79.65 | 29 |
| CO | $62.44 | 1 |
| CT | $63.55 | 1 |
| DC | $68.25 | 1 |
| DE | $59.27 | 1 |
| FL | $58.45–$63.03 | 3 |
| GA | $55.47–$60.71 | 2 |
| GU | $65.09 | 1 |
| HI | $65.09 | 1 |
| IA | $55.63 | 1 |
| ID | $55.92 | 1 |
| IL | $56.72–$61.81 | 4 |
| IN | $56.22 | 1 |
| KS | $55.28 | 1 |
| KY | $55.07 | 1 |
| LA | $54.94–$57.46 | 2 |
| MA | $62.07–$68.48 | 2 |
| MD | $60.38–$68.25 | 3 |
| ME | $56.07–$59.04 | 2 |
| MI | $56.28–$59.01 | 2 |
| MN | $60.29 | 1 |
| MO | $54.00–$57.79 | 3 |
| MS | $53.72 | 1 |
| MT | $59.79 | 1 |
| NC | $56.63 | 1 |
| ND | $59.19 | 1 |
| NE | $55.95 | 1 |
| NH | $61.37 | 1 |
| NJ | $64.41–$67.61 | 2 |
| NM | $56.52 | 1 |
| NV | $59.66 | 1 |
| NY | $57.40–$69.63 | 5 |
| OH | $56.16 | 1 |
| OK | $55.10 | 1 |
| OR | $59.32–$64.44 | 2 |
| PA | $56.31–$62.00 | 2 |
| PR | $60.23 | 1 |
| RI | $61.38 | 1 |
| SC | $56.46 | 1 |
| SD | $59.12 | 1 |
| TN | $55.52 | 1 |
| TX | $55.96–$62.13 | 8 |
| UT | $57.18 | 1 |
| VA | $58.78–$68.25 | 2 |
| VI | $60.23 | 1 |
| VT | $58.88 | 1 |
| WA | $61.98–$69.93 | 2 |
| WI | $57.34 | 1 |
| WV | $54.75 | 1 |
| WY | $59.53 | 1 |
Where does this rate apply?
Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, 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 94014 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$69.98
$63.62 × 110% = $69.98
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 94014 in Madera.
PPRRVU2026_Oct_nonQPP.csv
12,370
- Code
- 94014
- Physician work
- 0.51
- Practice expense
- 1.25
- Malpractice
- 0.03
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.51 | × 1.017 | 0.5187 |
| Practice expense | 1.25 | × 1.096 | 1.3700 |
| Malpractice | 0.03 | × 0.536 | 0.0161 |
| Total RVUs | 1.9048 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Madera$63.62
Open 94014 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.51 | 1.017 |
| Practice expense | 1.25 | 1.096 |
| Malpractice | 0.03 | 0.536 |
(0.51 × 1.017 + 1.25 × 1.096 + 0.03 × 0.536) × $33.4009 = $63.62
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
94014 · Office / nonfacility
$63.62
Effective 2026-10-01
The base rate is $6.07 higher than on 2025-10-01, moving from $57.55 to $63.62 (10.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$57.55changed to$63.62
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.52 changed to 0.51
- Practice expense RVU 1.13 changed to 1.25
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $57.55
Held through RVU25B, RVU25C, RVU25D.
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 | $63.62 | Not available in this setting | RVU26D |
| 2026-07-01 | $63.62 | Not available in this setting | RVU26C |
| 2026-04-01 | $63.62 | Not available in this setting | RVU26B |
| 2026-01-01 | $63.62 | Not available in this setting | RVU26A |
| 2025-10-01 | $57.55 | Not available in this setting | RVU25D |
| 2025-07-01 | $57.55 | Not available in this setting | RVU25C |
| 2025-04-01 | $57.55 | Not available in this setting | RVU25B |
| 2025-01-01 | $57.55 | Not available in this setting | RVU25A |
94014 billing questions
How is 94014 different from office spirometry?
94014 covers patient-triggered recordings transmitted during a 30-day monitoring period. A conventional spirometry test performed in the office is reported with the code that matches that in-person service.
Can modifier 26 or TC be appended to 94014?
No. CMS identifies 94014 as a global-test-only code with separate codes for the professional and technical components. Use the appropriate component code when reporting only one portion.
What documentation supports reporting 94014?
Document the monitoring period and the patient-generated spirometry recordings or transmissions. The record should support that the service involved patient-recorded measurements over the period, rather than a single clinic-based test.
How does 94014 differ from 94015?
Both relate to patient-initiated spirometry over a monitoring period. 94015 is associated with physician analysis, interpretation, and reporting, while 94014 addresses recording and data transmission.
When is 94016 used instead?
94016 describes physician or qualified health care professional review and interpretation of patient-recorded spirometry. It is distinct from the recording and transmission service represented by 94014.
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.
