Medicare RVU & Physician Fee Schedule Lookup
Search and evaluate Relative Value Units (RVUs) under the Medicare Physician Fee Schedule (MPFS). Review Work RVUs, Practice Expense (PE) RVUs, Malpractice (MP) RVUs, and conversion factor calculations.
The official standard Medicare conversion factor converts adjusted relative value units into dollar payment rates for calendar year 2026.
Payments are regionally adjusted based on Geographic Practice Cost Indices (GPCI) for physician work, practice expenses, and professional liability.
Evaluation & Management RVU Schedule
Base national RVU values and unadjusted payments at the $32.74 conversion factor.
| Code | Description | Work RVU | Non-Facility RVU | Facility RVU | Estimated Payment |
|---|---|---|---|---|---|
| 99213 | Office or other outpatient visit, established patient, low level MDM, 20-29 minutes | 1.30 | 2.88 | 2.09 |
$94.29
Fac: $68.43
|
| 99214 | Office or other outpatient visit, established patient, moderate level MDM, 30-39 minutes | 1.92 | 4.02 | 3.01 |
$131.61
Fac: $98.55
|
| 99215 | Office or other outpatient visit, established patient, high level MDM, 40-54 minutes | 2.80 | 5.76 | 4.34 |
$188.58
Fac: $142.09
|
| 99203 | Office or other outpatient visit, new patient, low level MDM, 30-44 minutes | 1.60 | 3.39 | 2.60 |
$110.99
Fac: $85.12
|
| 99204 | Office or other outpatient visit, new patient, moderate level MDM, 45-59 minutes | 2.60 | 5.24 | 4.09 |
$171.56
Fac: $133.91
|
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0.17 | 0.63 | 0.26 |
$20.63
Fac: $8.51
|
| 93000 | Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report | 0.17 | 0.50 | 0.23 |
$16.37
Fac: $7.53
|
| G2211 | Visit complexity add-on code inherent to ongoing evaluation and management services | 0.33 | 0.49 | 0.49 |
$16.04
Fac: $16.04
|
Understanding Facility vs. Non-Facility Medicare Payments
Medicare distinguishes between services rendered in non-facility settings (such as independent physician offices) versus facility settings (such as hospitals, ambulatory surgical centers, and emergency departments). In an office setting, the practice incurs all overhead and clinical staff expenses, yielding a higher Practice Expense RVU and higher professional reimbursement. In a hospital facility setting, overhead is paid separately to the facility, resulting in a lower professional payment rate.