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MGMA median benchmark: 5,200 wRVUs/year
Values below: 2026 CMS Physician Fee Schedule. Switch between 2025, 2026 & 2027 values in the calculator.
E&M (Clinic) Codes
- 99211 — Off/op est may x req phy/qhp (0.18 wRVU)
- 99212 — Est. patient, straightforward (0.7 wRVU)
- 99213 — Est. patient, low (1.3 wRVU)
- 99214 — Est. patient, moderate (1.92 wRVU)
- 99215 — Est. patient, high (2.8 wRVU)
- G0438 — Ppps, initial visit (2.6 wRVU)
- G0439 — Ppps, subseq visit (1.92 wRVU)
- 99231 — Subsequent hospital, low (1 wRVU)
- 99232 — Subsequent hospital, moderate (1.59 wRVU)
- 99233 — Subsequent hospital, high (2.4 wRVU)
- 99238 — Discharge day, ≤30 min (1.5 wRVU)
- 99239 — Discharge day, >30 min (2.15 wRVU)
- 99305 — 1st nf care moderate mdm 35 (2.5 wRVU)
- 99306 — 1st nf care high mdm 50 (3.5 wRVU)
- 99307 — Sbsq nf care sf mdm 10 (0.7 wRVU)
- 99308 — Sbsq nf care low mdm 20 (1.3 wRVU)
- 99309 — Sbsq nf care moderate mdm 30 (1.92 wRVU)
- 99221 — Initial hospital, low (1.63 wRVU)
- 99222 — Initial hospital, moderate (2.6 wRVU)
- 99223 — Initial hospital, high (3.5 wRVU)
- 99202 — New patient, straightforward (0.93 wRVU)
- 99203 — New patient, low (1.6 wRVU)
- 99204 — New patient, moderate (2.6 wRVU)
- 99205 — New patient, high (3.5 wRVU)
- 99283 — ED visit, level 3 (1.6 wRVU)
- 99284 — ED visit, level 4 (2.74 wRVU)
- 99285 — ED visit, level 5 (4 wRVU)
- 99344 — Home/res vst new mod mdm 60 (2.87 wRVU)
- 99345 — Home/res vst new high mdm 75 (3.88 wRVU)
- 99348 — Home/res vst est low mdm 30 (1.5 wRVU)
- 99349 — Home/res vst est mod mdm 40 (2.44 wRVU)
- 99310 — Sbsq nf care high mdm 45 (2.8 wRVU)
- 99316 — Nf dschrg mgmt 30 min+ (2.5 wRVU)
- G0402 — Initial preventive exam (2.6 wRVU)
- 99483 — Assmt & care pln pt cog imp (3.84 wRVU)
- 99484 — Care mgmt svc bhvl hlth cond (0.93 wRVU)
- 99487 — Cplx chrnc care 1st 60 min (1.81 wRVU)
- 99489 — Cplx chrnc care ea addl 30 (1 wRVU)
- 99291 — Critical care, first hr (4.5 wRVU)
- 99292 — Critical care, addl 30 min (2.25 wRVU)
- 99457 — Rpm tx mgmt 1st 20 min (0.61 wRVU)
- 99458 — Rpm tx mgmt ea addl 20 min (0.61 wRVU)
- 99350 — Home/res vst est high mdm 60 (3.6 wRVU)
- 99439 — Chrnc care mgmt staf ea addl (0.7 wRVU)
- 99470 — Rpm tx mgmt 1st 10 min (0.31 wRVU)
- 99242 — Consultation, straightforward (1.08 wRVU)
- 99243 — Consultation, low (1.8 wRVU)
- 99244 — Consultation, moderate (2.69 wRVU)
- 99245 — Consultation, high (3.75 wRVU)
- 99381 — Preventive visit, new, infant (1.5 wRVU)
- 99382 — Init pm e/m new pat 1-4 yrs (1.6 wRVU)
- 99383 — Prev visit new age 5-11 (1.7 wRVU)
- 99384 — Prev visit new age 12-17 (2 wRVU)
- 99385 — Preventive visit, new, 18-39 (1.92 wRVU)
- 99386 — Prev visit new age 40-64 (2.33 wRVU)
- 99387 — Init pm e/m new pat 65+ yrs (2.5 wRVU)
- 99391 — Preventive visit, est, infant (1.37 wRVU)
- 99392 — Prev visit est age 1-4 (1.5 wRVU)
- 99393 — Prev visit est age 5-11 (1.5 wRVU)
- 99394 — Prev visit est age 12-17 (1.7 wRVU)
- 99395 — Preventive visit, est, 18-39 (1.75 wRVU)
- 99396 — Preventive visit, est, 40-64 (1.9 wRVU)
- 99397 — Preventive visit, est, 65+ (2 wRVU)
- G2211 — Complex e/m visit add on (0.33 wRVU)
Family Medicine Procedure Codes
- 99490 — Chronic care mgmt, 20 min (1 wRVU)
- 99491 — Chronic care mgmt, 30 min (1.5 wRVU)
- 99493 — Collab care, subsequent 60 min (2.05 wRVU)
- 99495 — TCM, moderate (2.78 wRVU)
- 99496 — TCM, high (3.79 wRVU)
- 99497 — Advance care planning (1.5 wRVU)
- 90460 — Im admin 1st/only component (0.23 wRVU)
- 90461 — Im admin each addl component (0.18 wRVU)
- 90471 — Immunization admin (0.17 wRVU)
- 90472 — Immunization admin each add (0.15 wRVU)
- G0557 — Adv prim care mgmt lvl 2 (0.77 wRVU)
- 90837 — Psychotherapy, 60 min (3.78 wRVU)
- G0181 — Home health care supervision (1.73 wRVU)
- 11043 — Debridement muscle/fascia (2.63 wRVU)
- 20610 — Joint injection, major (0.77 wRVU)
- 96372 — Ther/proph/diag inj sc/im (0.17 wRVU)
- G0444 — Depression screen annual (0.18 wRVU)
- 90834 — Psychotherapy, 45 min (2.56 wRVU)
- 11042 — Debridement subq tissue (0.98 wRVU)
- G0180 — Md certification hha patient (0.65 wRVU)
- G0558 — Adv prim care mgmt lvl 3 (1.67 wRVU)
- 20611 — Joint injection, US-guided (1.07 wRVU)
- 93000 — Electrocardiogram complete (0.17 wRVU)
- G0446 — Intens behave ther cardio dx (0.6 wRVU)
- G0179 — Md recertification hha pt (0.44 wRVU)
- 99183 — Hyperbaric oxygen therapy (2.06 wRVU)
- G0442 — Annual alcohol screen 15 min (0.18 wRVU)
- 98929 — Osteopath manj 9-10 regions (1.42 wRVU)
- G0447 — Behavior counsel obesity 15m (0.6 wRVU)
- 17000 — Destroy lesion, first (0.59 wRVU)
- 69210 — Cerumen removal (0.59 wRVU)
- 99091 — Collj & interpj data ea 30 d (1.1 wRVU)
- 11044 — Debridement bone (4 wRVU)
- 97597 — Wound debridement, first 20 cm² (0.75 wRVU)
- 98928 — Osteopath manj 7-8 regions (1.18 wRVU)
- 17110 — Destroy warts, up to 14 (0.68 wRVU)
- 10060 — I&D abscess, simple (1.19 wRVU)
- 11102 — Shave biopsy, single (0.64 wRVU)
- 10061 — I&D abscess, complicated (2.39 wRVU)
- 11104 — Punch biopsy, single (0.81 wRVU)
- 20552 — Trigger point injection, 1-2 (0.64 wRVU)
- 12001 — Simple repair, ≤2.5 cm (0.82 wRVU)
- 12002 — Simple repair, 2.6-7.5 cm (1.11 wRVU)
- 11200 — Skin tag removal, up to 15 (0.8 wRVU)
- 20600 — Joint injection, small (0.64 wRVU)
- 20553 — Trigger point injection, 3+ (0.73 wRVU)
- 97598 — Wound debridement, addl 20 cm² (0.49 wRVU)
- 12011 — Simple repair face, ≤2.5 cm (1.04 wRVU)
- 11401 — Excision benign, 0.6-1.0 cm (1.25 wRVU)
- 11103 — Shave biopsy, addl (0.37 wRVU)
- 11730 — Nail removal, simple (1.02 wRVU)
- 17003 — Destroy lesion, 2nd-14th (0.04 wRVU)
- 17111 — Destroy warts, 15+ (0.95 wRVU)
- 11750 — Nail matrixectomy (1.54 wRVU)
- 12004 — Simple repair, 7.6-12.5 cm (1.4 wRVU)
- 11400 — Excision benign, ≤0.5 cm (0.88 wRVU)
- 58100 — Endometrial biopsy (1.18 wRVU)
- 11105 — Punch biopsy, addl (0.44 wRVU)
- 10080 — I&D pilonidal cyst (1.19 wRVU)
- 11981 — Nexplanon insertion (1.11 wRVU)
- 11982 — Nexplanon removal (1.31 wRVU)
- 58301 — IUD removal (1.24 wRVU)
- 58300 — IUD insertion (0.98 wRVU)