99348 is the low-decision-making established patient home visit, with a 30-minute minimum when selected by time. Choose 99349 for moderate decision making, supported by two of its three elements, or at least 40 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
99349 in Redding
Office / nonfacility
$135.53
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.
Evaluation and management
About 99349: Established patient home or residence visit, moderate complexity
Report an established patient home or residence visit when medical decision making is moderate or the reporting practitioner spends at least 40 minutes on the visit date.
This visit covers evaluation and management of an established patient in a private home or another residence, such as an assisted living facility or group home, rather than a nursing facility. Physicians, nurse practitioners, and physician assistants commonly perform these visits in house-call and home-based primary care programs. Patients may have limited mobility and several chronic conditions, such as heart failure, diabetes, or COPD, requiring assessment of a worsening problem or a medication change.
Select this level by moderate medical decision making or at least 40 minutes of the reporting practitioner’s qualifying time on the visit date. For decision making, document the problems addressed, relevant data reviewed, and management risk; two of those three elements must support the level. For time-based selection, record total minutes, including qualifying non-face-to-face work that day but excluding travel, staff time, and separately billed services. The former domiciliary and rest home visit settings are included in this home or residence visit family. Report the place of service that identifies where the patient was seen.
Where the value comes from
- Work RVU2.44 · 62%
- Practice expense (office) RVU1.36 · 34%
- Malpractice RVU0.16 · 4%
3.7M
Medicare services in 2024 · #51 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.
99349 compared with similar codes
Office rates for Redding, from the same CMS release.
99350 requires high medical decision making or at least 60 minutes of qualifying time. Choose 99349 when decision making is moderate or its 40-minute time threshold is met without reaching the higher time threshold.
99344 is a moderate-decision-making home visit for a new patient, with a 60-minute minimum when selected by time. Use 99349 when the patient is established and its decision-making or time requirement is met.
99214 is the moderate-level established patient visit in an office or other outpatient setting. For an established patient seen at home or in another qualifying residence, select from the home or residence visit family.
The same code, a different location
How does Redding compare?
In Bakersfield, the office rate for 99349 is $136.09—$0.56 higher than the $135.53 rate in Redding. Both use the same code, release and participation basis.
99349 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
$135.53
$136.09
$0.56 higher than Redding
$135.53
The same base rate than Redding
$135.56
$0.03 higher than Redding
$135.53
The same base rate than Redding
$135.53
The same base rate than Redding
$6.60 higher than Redding
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, 99349 ranges from $123.27 in Arkansas to $173.57 in Alaska*. 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
Madera
California · 99349
Office
$135.53
Facility
Unavailable
The same base rate than Redding for the office setting.
Merced
California · 99349
Office
$135.53
Facility
Unavailable
The same base rate than Redding for the office setting.
Modesto
California · 99349
Office
$135.53
Facility
Unavailable
The same base rate than Redding for the office setting.
Napa
California · 99349
Office
$149.22
Facility
Unavailable
$13.69 higher than Redding for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 99349
Office
$140.80
Facility
Unavailable
$5.27 higher than Redding for the office setting.
Rest Of California
California · 99349
Office
$135.53
Facility
Unavailable
The same base rate than Redding for the office setting.
Riverside-San Bernardino-Ontario
California · 99349
Office
$137.31
Facility
Unavailable
$1.78 higher than Redding for the office setting.
Sacramento-Roseville-Folsom
California · 99349
Office
$140.13
Facility
Unavailable
$4.60 higher than Redding for the office setting.
Salinas
California · 99349
Office
$139.54
Facility
Unavailable
$4.01 higher than Redding for the office setting.
San Diego-Chula Vista-Carlsbad
California · 99349
Office
$141.17
Facility
Unavailable
$5.64 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 99349
Office
$155.74
Facility
Unavailable
$20.21 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 99349
Office
$155.56
Facility
Unavailable
$20.03 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 99349
Office
$158.83
Facility
Unavailable
$23.30 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 99349
Office
$158.09
Facility
Unavailable
$22.56 higher than Redding for the office setting.
San Luis Obispo-Paso Robles
California · 99349
Office
$137.49
Facility
Unavailable
$1.96 higher than Redding for the office setting.
Santa Cruz-Watsonville
California · 99349
Office
$141.27
Facility
Unavailable
$5.74 higher than Redding for the office setting.
Santa Maria-Santa Barbara
California · 99349
Office
$139.61
Facility
Unavailable
$4.08 higher than Redding for the office setting.
Santa Rosa-Petaluma
California · 99349
Office
$142.59
Facility
Unavailable
$7.06 higher than Redding for the office setting.
Stockton
California · 99349
Office
$135.53
Facility
Unavailable
The same base rate than Redding for the office setting.
Vallejo
California · 99349
Office
$148.96
Facility
Unavailable
$13.43 higher than Redding for the office setting.
Visalia
California · 99349
Office
$135.53
Facility
Unavailable
The same base rate than Redding for the office setting.
Yuba City
California · 99349
Office
$135.53
Facility
Unavailable
The same base rate than Redding for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 99349
Office
$145.36
Facility
Unavailable
$9.83 higher than Redding for the office setting.
Miami
Florida · 99349
Office
$142.30
Facility
Unavailable
$6.77 higher than Redding for the office setting.
Chicago
Illinois · 99349
Office
$139.99
Facility
Unavailable
$4.46 higher than Redding for the office setting.
Manhattan
New York · 99349
Office
$147.97
Facility
Unavailable
$12.44 higher than Redding for the office setting.
Alaska*
Alaska · 99349
Office
$173.57
Facility
Unavailable
$38.04 higher than Redding for the office setting.
Alabama
Alabama · 99349
Office
$124.27
Facility
Unavailable
$11.26 lower than Redding for the office setting.
Arkansas
Arkansas · 99349
Office
$123.27
Facility
Unavailable
$12.26 lower than Redding for the office setting.
Arizona
Arizona · 99349
Office
$130.09
Facility
Unavailable
$5.44 lower than Redding for the office setting.
Colorado
Colorado · 99349
Office
$134.98
Facility
Unavailable
$0.55 lower than Redding for the office setting.
Connecticut
Connecticut · 99349
Office
$138.52
Facility
Unavailable
$2.99 higher than Redding for the office setting.
Delaware
Delaware · 99349
Office
$131.59
Facility
Unavailable
$3.94 lower than Redding for the office setting.
Fort Lauderdale
Florida · 99349
Office
$137.18
Facility
Unavailable
$1.65 higher than Redding for the office setting.
Rest Of Florida
Florida · 99349
Office
$132.96
Facility
Unavailable
$2.57 lower than Redding for the office setting.
Atlanta
Georgia · 99349
Office
$134.31
Facility
Unavailable
$1.22 lower than Redding for the office setting.
Rest Of Georgia
Georgia · 99349
Office
$128.39
Facility
Unavailable
$7.14 lower than Redding for the office setting.
Hawaii, Guam
Hawaii · 99349
Office
$136.24
Facility
Unavailable
$0.71 higher than Redding for the office setting.
Iowa
Iowa · 99349
Office
$125.18
Facility
Unavailable
$10.35 lower than Redding for the office setting.
Idaho
Idaho · 99349
Office
$125.82
Facility
Unavailable
$9.71 lower than Redding for the office setting.
East St. Louis
Illinois · 99349
Office
$134.05
Facility
Unavailable
$1.48 lower than Redding for the office setting.
Rest Of Illinois
Illinois · 99349
Office
$131.32
Facility
Unavailable
$4.21 lower than Redding for the office setting.
Suburban Chicago
Illinois · 99349
Office
$138.19
Facility
Unavailable
$2.66 higher than Redding for the office setting.
Indiana
Indiana · 99349
Office
$126.20
Facility
Unavailable
$9.33 lower than Redding for the office setting.
Kansas
Kansas · 99349
Office
$125.26
Facility
Unavailable
$10.27 lower than Redding for the office setting.
Kentucky
Kentucky · 99349
Office
$126.77
Facility
Unavailable
$8.76 lower than Redding for the office setting.
New Orleans
Louisiana · 99349
Office
$130.31
Facility
Unavailable
$5.22 lower than Redding for the office setting.
Rest Of Louisiana
Louisiana · 99349
Office
$126.82
Facility
Unavailable
$8.71 lower than Redding for the office setting.
Metropolitan Boston
Massachusetts · 99349
Office
$143.83
Facility
Unavailable
$8.30 higher than Redding for the office setting.
Rest Of Massachusetts
Massachusetts · 99349
Office
$134.89
Facility
Unavailable
$0.64 lower than Redding for the office setting.
Baltimore/Surr. Cntys
Maryland · 99349
Office
$138.15
Facility
Unavailable
$2.62 higher than Redding for the office setting.
Rest Of Maryland
Maryland · 99349
Office
$133.19
Facility
Unavailable
$2.34 lower than Redding for the office setting.
Rest Of Maine
Maine · 99349
Office
$126.61
Facility
Unavailable
$8.92 lower than Redding for the office setting.
Southern Maine
Maine · 99349
Office
$129.89
Facility
Unavailable
$5.64 lower than Redding for the office setting.
Detroit
Michigan · 99349
Office
$134.34
Facility
Unavailable
$1.19 lower than Redding for the office setting.
Rest Of Michigan
Michigan · 99349
Office
$129.00
Facility
Unavailable
$6.53 lower than Redding for the office setting.
Minnesota
Minnesota · 99349
Office
$129.82
Facility
Unavailable
$5.71 lower than Redding for the office setting.
Metropolitan Kansas City
Missouri · 99349
Office
$129.37
Facility
Unavailable
$6.16 lower than Redding for the office setting.
Metropolitan St. Louis
Missouri · 99349
Office
$130.10
Facility
Unavailable
$5.43 lower than Redding for the office setting.
Rest Of Missouri
Missouri · 99349
Office
$125.86
Facility
Unavailable
$9.67 lower than Redding for the office setting.
Mississippi
Mississippi · 99349
Office
$124.56
Facility
Unavailable
$10.97 lower than Redding for the office setting.
Montana**
Montana · 99349
Office
$132.26
Facility
Unavailable
$3.27 lower than Redding for the office setting.
North Carolina
North Carolina · 99349
Office
$127.29
Facility
Unavailable
$8.24 lower than Redding for the office setting.
North Dakota**
North Dakota · 99349
Office
$129.09
Facility
Unavailable
$6.44 lower than Redding for the office setting.
Nebraska
Nebraska · 99349
Office
$125.45
Facility
Unavailable
$10.08 lower than Redding for the office setting.
New Hampshire
New Hampshire · 99349
Office
$133.46
Facility
Unavailable
$2.07 lower than Redding for the office setting.
Northern Nj
New Jersey · 99349
Office
$145.03
Facility
Unavailable
$9.50 higher than Redding for the office setting.
Rest Of New Jersey
New Jersey · 99349
Office
$140.22
Facility
Unavailable
$4.69 higher than Redding for the office setting.
New Mexico
New Mexico · 99349
Office
$129.57
Facility
Unavailable
$5.96 lower than Redding for the office setting.
Nevada**
Nevada · 99349
Office
$131.42
Facility
Unavailable
$4.11 lower than Redding for the office setting.
Nyc Suburbs/Long Island
New York · 99349
Office
$150.65
Facility
Unavailable
$15.12 higher than Redding for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 99349
Office
$141.37
Facility
Unavailable
$5.84 higher than Redding for the office setting.
Queens
New York · 99349
Office
$148.11
Facility
Unavailable
$12.58 higher than Redding for the office setting.
Rest Of New York
New York · 99349
Office
$128.41
Facility
Unavailable
$7.12 lower than Redding for the office setting.
Ohio
Ohio · 99349
Office
$128.36
Facility
Unavailable
$7.17 lower than Redding for the office setting.
Oklahoma
Oklahoma · 99349
Office
$126.22
Facility
Unavailable
$9.31 lower than Redding for the office setting.
Portland
Oregon · 99349
Office
$137.25
Facility
Unavailable
$1.72 higher than Redding for the office setting.
Rest Of Oregon
Oregon · 99349
Office
$130.50
Facility
Unavailable
$5.03 lower than Redding for the office setting.
Metropolitan Philadelphia
Pennsylvania · 99349
Office
$136.63
Facility
Unavailable
$1.10 higher than Redding for the office setting.
Rest Of Pennsylvania
Pennsylvania · 99349
Office
$128.25
Facility
Unavailable
$7.28 lower than Redding for the office setting.
Puerto Rico
Puerto Rico · 99349
Office
$132.69
Facility
Unavailable
$2.84 lower than Redding for the office setting.
Rhode Island
Rhode Island · 99349
Office
$134.74
Facility
Unavailable
$0.79 lower than Redding for the office setting.
South Carolina
South Carolina · 99349
Office
$128.01
Facility
Unavailable
$7.52 lower than Redding for the office setting.
South Dakota**
South Dakota · 99349
Office
$128.72
Facility
Unavailable
$6.81 lower than Redding for the office setting.
Tennessee
Tennessee · 99349
Office
$125.66
Facility
Unavailable
$9.87 lower than Redding for the office setting.
Austin
Texas · 99349
Office
$134.46
Facility
Unavailable
$1.07 lower than Redding for the office setting.
Beaumont
Texas · 99349
Office
$127.80
Facility
Unavailable
$7.73 lower than Redding for the office setting.
Brazoria
Texas · 99349
Office
$131.34
Facility
Unavailable
$4.19 lower than Redding for the office setting.
Dallas
Texas · 99349
Office
$132.06
Facility
Unavailable
$3.47 lower than Redding for the office setting.
Fort Worth
Texas · 99349
Office
$131.68
Facility
Unavailable
$3.85 lower than Redding for the office setting.
Galveston
Texas · 99349
Office
$131.68
Facility
Unavailable
$3.85 lower than Redding for the office setting.
Houston
Texas · 99349
Office
$134.61
Facility
Unavailable
$0.92 lower than Redding for the office setting.
Rest Of Texas
Texas · 99349
Office
$129.43
Facility
Unavailable
$6.10 lower than Redding for the office setting.
Utah
Utah · 99349
Office
$129.00
Facility
Unavailable
$6.53 lower than Redding for the office setting.
Virginia
Virginia · 99349
Office
$129.92
Facility
Unavailable
$5.61 lower than Redding for the office setting.
Virgin Islands
United States Virgin Islands · 99349
Office
$132.69
Facility
Unavailable
$2.84 lower than Redding for the office setting.
Vermont
Vermont · 99349
Office
$129.17
Facility
Unavailable
$6.36 lower than Redding for the office setting.
Rest Of Washington
Washington · 99349
Office
$134.46
Facility
Unavailable
$1.07 lower than Redding for the office setting.
Seattle (King Cnty)
Washington · 99349
Office
$145.68
Facility
Unavailable
$10.15 higher than Redding for the office setting.
Wisconsin
Wisconsin · 99349
Office
$126.66
Facility
Unavailable
$8.87 lower than Redding for the office setting.
West Virginia
West Virginia · 99349
Office
$128.62
Facility
Unavailable
$6.91 lower than Redding for the office setting.
Wyoming**
Wyoming · 99349
Office
$130.88
Facility
Unavailable
$4.65 lower than Redding for the office setting.
See how rates vary across the country
99349 · 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.
$123.27
$173.57
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 | $173.57 | 1 |
| AL | $124.27 | 1 |
| AR | $123.27 | 1 |
| AZ | $130.09 | 1 |
| CA | $135.53–$158.83 | 29 |
| CO | $134.98 | 1 |
| CT | $138.52 | 1 |
| DC | $145.36 | 1 |
| DE | $131.59 | 1 |
| FL | $132.96–$142.30 | 3 |
| GA | $128.39–$134.31 | 2 |
| GU | $136.24 | 1 |
| HI | $136.24 | 1 |
| IA | $125.18 | 1 |
| ID | $125.82 | 1 |
| IL | $131.32–$139.99 | 4 |
| IN | $126.20 | 1 |
| KS | $125.26 | 1 |
| KY | $126.77 | 1 |
| LA | $126.82–$130.31 | 2 |
| MA | $134.89–$143.83 | 2 |
| MD | $133.19–$145.36 | 3 |
| ME | $126.61–$129.89 | 2 |
| MI | $129.00–$134.34 | 2 |
| MN | $129.82 | 1 |
| MO | $125.86–$130.10 | 3 |
| MS | $124.56 | 1 |
| MT | $132.26 | 1 |
| NC | $127.29 | 1 |
| ND | $129.09 | 1 |
| NE | $125.45 | 1 |
| NH | $133.46 | 1 |
| NJ | $140.22–$145.03 | 2 |
| NM | $129.57 | 1 |
| NV | $131.42 | 1 |
| NY | $128.41–$150.65 | 5 |
| OH | $128.36 | 1 |
| OK | $126.22 | 1 |
| OR | $130.50–$137.25 | 2 |
| PA | $128.25–$136.63 | 2 |
| PR | $132.69 | 1 |
| RI | $134.74 | 1 |
| SC | $128.01 | 1 |
| SD | $128.72 | 1 |
| TN | $125.66 | 1 |
| TX | $127.80–$134.61 | 8 |
| UT | $129.00 | 1 |
| VA | $129.92–$145.36 | 2 |
| VI | $132.69 | 1 |
| VT | $129.17 | 1 |
| WA | $134.46–$145.68 | 2 |
| WI | $126.66 | 1 |
| WV | $128.62 | 1 |
| WY | $130.88 | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 99349 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$149.08
$135.53 × 110% = $149.08
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 99349 in Redding.
PPRRVU2026_Oct_nonQPP.csv
13,060
- Code
- 99349
- Physician work
- 2.44
- Practice expense
- 1.36
- Malpractice
- 0.16
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.44 | × 1.017 | 2.4815 |
| Practice expense | 1.36 | × 1.096 | 1.4906 |
| Malpractice | 0.16 | × 0.536 | 0.0858 |
| Total RVUs | 4.0578 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Redding$135.53
Open 99349 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.44 | 1.017 |
| Practice expense | 1.36 | 1.096 |
| Malpractice | 0.16 | 0.536 |
(2.44 × 1.017 + 1.36 × 1.096 + 0.16 × 0.536) × $33.4009 = $135.53
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
99349 · Office / nonfacility
$135.53
Effective 2026-10-01
The base rate is $10.53 higher than on 2025-10-01, moving from $125.00 to $135.53 (8.4%).
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
$125.00changed to$135.53
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.19 changed to 1.36
- 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: $125.00
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 | $135.53 | Not available in this setting | RVU26D |
| 2026-07-01 | $135.53 | Not available in this setting | RVU26C |
| 2026-04-01 | $135.53 | Not available in this setting | RVU26B |
| 2026-01-01 | $135.53 | Not available in this setting | RVU26A |
| 2025-10-01 | $125.00 | Not available in this setting | RVU25D |
| 2025-07-01 | $125.00 | Not available in this setting | RVU25C |
| 2025-04-01 | $125.00 | Not available in this setting | RVU25B |
| 2025-01-01 | $125.00 | Not available in this setting | RVU25A |
99349 billing questions
When is 99349 chosen over 99348 or 99350?
Choose 99349 for moderate medical decision making or at least 40 minutes of qualifying practitioner time. When selecting by time, 99348 has a 30-minute minimum and 99350 has a 60-minute minimum; choose the highest level whose minimum is met.
Can 99349 be billed for visits in an assisted living facility?
Yes. Assisted living facilities and group homes are residential settings covered by the home or residence visit family. Use the place-of-service code for the actual setting.
Does Medicare require the patient to be homebound for 99349?
No. A medically necessary practitioner visit may be reported even if the patient is not homebound; homebound status concerns eligibility for home health services.
What counts toward the 40-minute threshold?
Count the reporting practitioner’s qualifying work on the visit date, including the visit, record review, care-related caregiver discussion, ordering, and documentation. Exclude travel, staff time, and time spent on separately billed services.
Can prolonged services be added to 99349?
Prolonged home or residence E/M services pair with the highest visit levels, 99345 and 99350, rather than 99349. A visit selected by time reaches 99350 at 60 minutes.
Is a new patient seen at home reported with 99349?
No. For a patient new to the practitioner and same-specialty, same-subspecialty group under the three-year new-patient rule, select from the new-patient home or residence codes, such as 99344 for moderate medical decision making.
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.
