Medicare's 2026 rates in Atlanta, Georgia
Medicare payment locality 01, run by contractor 10212, covers these counties: Butts, Cherokee, Clayton, Cobb, Dekalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Henry, Newton, Paulding, Rockdale and Walton. Its cost indices put code 99213, billed from an office, at $96.71, 1.6% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.003
- Practice expense (national = 1.000)
- 1.016
- Malpractice (national = 1.000)
- 1.201
- ZIP codes CMS assigns to this locality
- 275
- Of those, split with another locality
- 20
30 common codes priced for Atlanta
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 | $137.81 | $135.61 | $85.89 |
| 99213 | Visit or care management | $96.71 | $95.19 | $58.36 |
| 97110 | Physical therapy or rehabilitation | $29.39 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $35.50 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $33.10 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $28.04 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $6.43 | $6.35 | $1.68 |
| 88305 | Lab test or pathology | $71.07 | $70.14 | none |
| 93010 | Heart test or procedure | $8.47 | $8.35 | $8.47 |
| 99309 | Visit or care management | $116.43 | $114.57 | $100.14 |
| 99215 | Visit or care management | $195.55 | $192.39 | $127.68 |
| 98941 | Manipulation | $38.79 | $38.41 | $28.27 |
| 71045 | Imaging | $25.84 | $25.38 | none |
| 99204 | Visit or care management | $180.55 | $177.36 | $119.13 |
| 99308 | Visit or care management | $80.02 | $78.83 | $68.82 |
| 93000 | Heart test or procedure | $15.66 | $15.36 | none |
| 92014 | Eye exam or test | $128.92 | $127.26 | $62.75 |
| 99203 | Visit or care management | $119.75 | $117.57 | $72.92 |
| 95004 | Allergy testing or treatment | $3.79 | $3.67 | none |
| 92134 | Eye exam or test | $33.25 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $15.60 | $15.36 | none |
| 99490 | Visit or care management | $67.19 | $66.13 | $44.45 |
| 90837 | Mental health service | $168.16 | $167.00 | $135.92 |
| 93306 | Heart test or procedure | $199.76 | $196.73 | none |
| 99212 | Visit or care management | $60.47 | $59.45 | $31.63 |
| 71046 | Imaging | $33.63 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $67.65 | $66.47 | $48.64 |
| 77067 | Imaging | $128.26 | $126.26 | none |
| 95165 | Allergy testing or treatment | $17.68 | $17.37 | $2.75 |
| 77063 | Imaging | $51.85 | $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.