Medicare's 2026 rates in Delaware, Delaware
Medicare payment locality 01, run by contractor 12102, covers every county in the state. Its cost indices put code 99213, billed from an office, at $94.52, 0.7% below the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.005
- Practice expense (national = 1.000)
- 0.988
- Malpractice (national = 1.000)
- 0.899
- ZIP codes CMS assigns to this locality
- 99
30 common codes priced for Delaware
Physician fee schedule amounts for 2026. Office is what Medicare allows when a doctor's office or clinic bills the code; facility is what it allows a doctor for the same work in a hospital or surgery center.
| Code | Category | Office here | Office national | Facility here |
|---|---|---|---|---|
| 99214 | Visit or care management | $134.65 | $135.61 | $84.16 |
| 99213 | Visit or care management | $94.52 | $95.19 | $57.23 |
| 97110 | Physical therapy or rehabilitation | $28.94 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $34.87 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $32.59 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $27.60 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $6.29 | $6.35 | $1.67 |
| 88305 | Lab test or pathology | $69.66 | $70.14 | none |
| 93010 | Heart test or procedure | $8.32 | $8.35 | $8.32 |
| 99309 | Visit or care management | $113.86 | $114.57 | $98.02 |
| 99215 | Visit or care management | $191.05 | $192.39 | $125.05 |
| 98941 | Manipulation | $38.31 | $38.41 | $28.08 |
| 71045 | Imaging | $25.12 | $25.38 | none |
| 99204 | Visit or care management | $175.99 | $177.36 | $116.26 |
| 99308 | Visit or care management | $78.38 | $78.83 | $67.49 |
| 93000 | Heart test or procedure | $15.22 | $15.36 | none |
| 92014 | Eye exam or test | $126.42 | $127.26 | $62.07 |
| 99203 | Visit or care management | $116.59 | $117.57 | $71.05 |
| 95004 | Allergy testing or treatment | $3.61 | $3.67 | none |
| 92134 | Eye exam or test | $32.46 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $15.25 | $15.36 | none |
| 99490 | Visit or care management | $65.70 | $66.13 | $43.59 |
| 90837 | Mental health service | $167.09 | $167.00 | $135.74 |
| 93306 | Heart test or procedure | $194.94 | $196.73 | none |
| 99212 | Visit or care management | $58.96 | $59.45 | $30.91 |
| 71046 | Imaging | $32.73 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $65.83 | $66.47 | $47.35 |
| 77067 | Imaging | $125.01 | $126.26 | none |
| 95165 | Allergy testing or treatment | $17.16 | $17.37 | $2.64 |
| 77063 | Imaging | $50.74 | $51.10 | none |
Hospital outpatient rates and lab fee schedule amounts are national, so they are the same here as everywhere; each code page lists them.