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Last updated: October 2026CMS rates · Free lookup

Medicare Fee Schedule Lookup

Search 2026 Medicare reimbursement rates and national payment amounts by CPT, HCPCS, MS-DRG, or NDC code. The lookup includes the Physician Fee Schedule, Drug ASP, MS-DRG weights and national rates, anesthesia conversion factors, the Clinical Laboratory Fee Schedule, DMEPOS, ambulance, opioid treatment program, and Part D negotiated price data from CMS.

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96160
20262025

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Physician Fee Schedule·96160·National·2026, 2025
Current non-facility rate
$3.01▲0.0%
Facility: $3.01
Recent trend
Code description

Administration Of Patient-Focu, Administration Of Patient-Focused Health Risk Assessment Instrument (Eg Health Hazard Appraisal) With Scoring And Documentation Per Standardized Instrument

CodeDateStateLocalityCarrierNon-Facility FeeFacility FeeDescription
9616010/2026N/A0000000$3.01$3.01Administration Of Patient-Focu, Administration Of Patient-Focused Health Risk Assessment Instrument (Eg Health Hazard Appraisal) With Scoring And Documentation Per Standardized Instrument
961607/2026N/A0000000$3.01$3.01Administration Of Patient-Focu, Administration Of Patient-Focused Health Risk Assessment Instrument (Eg Health Hazard Appraisal) With Scoring And Documentation Per Standardized Instrument
961604/2026N/A0000000$3.01$3.01Administration Of Patient-Focu, Administration Of Patient-Focused Health Risk Assessment Instrument (Eg Health Hazard Appraisal) With Scoring And Documentation Per Standardized Instrument
961601/2026N/A0000000$3.01$3.01Administration Of Patient-Focu, Administration Of Patient-Focused Health Risk Assessment Instrument (Eg Health Hazard Appraisal) With Scoring And Documentation Per Standardized Instrument
9616010/2025N/A0000000$2.91$2.91Administration Of Patient-Focu, Administration Of Patient-Focused Health Risk Assessment Instrument (Eg Health Hazard Appraisal) With Scoring And Documentation Per Standardized Instrument
961607/2025N/A0000000$2.91$2.91Administration Of Patient-Focu, Administration Of Patient-Focused Health Risk Assessment Instrument (Eg Health Hazard Appraisal) With Scoring And Documentation Per Standardized Instrument
961604/2025N/A0000000$2.91$2.91Administration Of Patient-Focu, Administration Of Patient-Focused Health Risk Assessment Instrument (Eg Health Hazard Appraisal) With Scoring And Documentation Per Standardized Instrument
961601/2025N/A0000000$2.91$2.91Administration Of Patient-Focu, Administration Of Patient-Focused Health Risk Assessment Instrument (Eg Health Hazard Appraisal) With Scoring And Documentation Per Standardized Instrument
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Compare Medicare rates with published commercial rates for the same code

Search negotiated rates from more than 180 commercial payers by NPI, TIN, and ZIP code. Review historical rates or export the data through API, SQL, MCP, or bulk download.

Medicaid comparison

See what state Medicaid programs pay for the same codes

50 state Medicaid agencies publish their own physician fee schedule, and the rate for a single code can differ several times over between them. Rates for 20 common codes, including 99213, 99214, 99203 are free in every state that prices them, with no login.

17,674 codes and 974,327 published rates, taken from the files the state agencies publish themselves.

Related codes

96156Physician Supervision Of A Patient Under A Medicare-Approved Hospice (Patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/Or Revision Of Care Plans, Review Of Subsequent Reports Of Patient Status, Review Of Laboratory And Other Studies, Communication (Including Telephone Calls) With Other Health Care Professionals Involved In The Patient's Care, Integration Of New Information Into The Medical Treatment Plan And/Or Adjustment Of
$107.55
96158Level 1 Hospital Emergency Department Visit Provided In A Type B Emergency Department; (The Ed Must Meet At Least One Of The Following Requirements: (1) It Is Licensed By The State In Which It Is Located Under Applicable State Law As An Emergency Room Or Emergency Department; (2) It Is Held Out To The Public (By Name, Posted Signs, Advertising, Or Other Means) As A Place That Provides Care For Emergency Medical Conditions On An Urgent Basis Without Requiring A Previously Scheduled Appointment; O
$73.82
96159Level 2 Hospital Emergency Department Visit Provided In A Type B Emergency Department; (The Ed Must Meet At Least One Of The Following Requirements: (1) It Is Licensed By The State In Which It Is Located Under Applicable State Law As An Emergency Room Or Emergency Department; (2) It Is Held Out To The Public (By Name, Posted Signs, Advertising, Or Other Means) As A Place That Provides Care For Emergency Medical Conditions On An Urgent Basis Without Requiring A Previously Scheduled Appointment; O
$25.39

Methodology

Rates are sourced directly from CMS Physician Fee Schedule files, indexed quarterly. Non-facility and facility prices are calculated using the published GPCI for each locality and the year's conversion factor.

View CMS Physician Fee Schedule