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MGMA median benchmark: 4,800 wRVUs/year

Values below: 2026 CMS Physician Fee Schedule. Switch between 2025, 2026 & 2027 values in the calculator.

E&M (Clinic) Codes

99231 — Subsequent hospital, low (1 wRVU)
99232 — Subsequent hospital, moderate (1.59 wRVU)
99233 — Subsequent hospital, high (2.4 wRVU)
99235 — Hosp ip/obs same date mod 70 (3.24 wRVU)
99236 — Hosp ip/obs same date hi 85 (4.3 wRVU)
99238 — Discharge day, ≤30 min (1.5 wRVU)
99239 — Discharge day, >30 min (2.15 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)
99221 — Initial hospital, low (1.63 wRVU)
99222 — Initial hospital, moderate (2.6 wRVU)
99223 — Initial hospital, high (3.5 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)
G0438 — Ppps, initial visit (2.6 wRVU)
G0439 — Ppps, subseq visit (1.92 wRVU)
99291 — Critical care, first hr (4.5 wRVU)
99292 — Critical care, addl 30 min (2.25 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)
99310 — Sbsq nf care high mdm 45 (2.8 wRVU)
99316 — Nf dschrg mgmt 30 min+ (2.5 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)
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)
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)
99284 — ED visit, level 4 (2.74 wRVU)
99285 — ED visit, level 5 (4 wRVU)
99439 — Chrnc care mgmt staf ea addl (0.7 wRVU)
G0402 — Initial preventive exam (2.6 wRVU)
99470 — Rpm tx mgmt 1st 10 min (0.31 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)
99242 — Consultation, straightforward (1.08 wRVU)
99243 — Consultation, low (1.8 wRVU)
99244 — Consultation, moderate (2.69 wRVU)
99245 — Consultation, high (3.75 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)
G2211 — Complex e/m visit add on (0.33 wRVU)

Internal Medicine / Hospitalist Procedure Codes

99490 — Chronic care mgmt, 20 min (1 wRVU)
99491 — Chronic care mgmt, 30 min (1.5 wRVU)
99495 — TCM, moderate (2.78 wRVU)
99496 — TCM, high (3.79 wRVU)
99497 — Advance care planning (1.5 wRVU)
99498 — Advance care planning, addl (1.4 wRVU)
90960 — Esrd srv 4 visits p mo 20+ (6.77 wRVU)
93306 — TTE complete w/ Doppler (1.42 wRVU)
G0557 — Adv prim care mgmt lvl 2 (0.77 wRVU)
G0181 — Home health care supervision (1.73 wRVU)
45385 — Colonoscopy snare polypectomy (4.46 wRVU)
93000 — Electrocardiogram complete (0.17 wRVU)
G0180 — Md certification hha patient (0.65 wRVU)
90961 — Esrd srv 2-3 vsts p mo 20+ (5.52 wRVU)
G0444 — Depression screen annual (0.18 wRVU)
93010 — Electrocardiogram report (0.17 wRVU)
G0558 — Adv prim care mgmt lvl 3 (1.67 wRVU)
96372 — Ther/proph/diag inj sc/im (0.17 wRVU)
G0545 — Inherent visit to inpt (0.89 wRVU)
43239 — EGD with biopsy (2.33 wRVU)
45380 — Colonoscopy with biopsy (3.47 wRVU)
90966 — Esrd home pt serv p mo 20+ (5.52 wRVU)
G0446 — Intens behave ther cardio dx (0.6 wRVU)
G0316 — Prolong inpt eval add15 m (0.61 wRVU)
G0179 — Md recertification hha pt (0.44 wRVU)
11042 — Debridement subq tissue (0.98 wRVU)
G0447 — Behavior counsel obesity 15m (0.6 wRVU)
20610 — Joint aspiration/injection (0.77 wRVU)
31500 — Emergency intubation (2.93 wRVU)
36556 — Central line insertion (1.71 wRVU)
32555 — Thoracentesis w/ imaging (2.21 wRVU)
49083 — Paracentesis (1.95 wRVU)
36620 — Arterial line placement (0.98 wRVU)
99152 — Moderate sedation, 5+, first 15 min (0.25 wRVU)
10060 — I&D abscess, simple (1.19 wRVU)
36410 — Venipuncture (physician) (0.18 wRVU)
10061 — I&D abscess, complicated (2.39 wRVU)
62270 — Lumbar puncture (1.19 wRVU)
32554 — Thoracentesis w/o imaging (1.77 wRVU)
38222 — Bone marrow biopsy (1.4 wRVU)
38220 — Bone marrow aspiration (1.17 wRVU)
99151 — Moderate sedation, first 15 min (0.5 wRVU)