Medicare's 2026 rates in Rest of Maryland, Maryland
Medicare payment locality 99, run by contractor 12302, covers these counties: All Other Counties Except Montgomery and Prince George'S. Its cost indices put code 99213, billed from an office, at $95.97, 0.8% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.010
- Practice expense (national = 1.000)
- 1.012
- Malpractice (national = 1.000)
- 0.918
- ZIP codes CMS assigns to this locality
- 288
- Of those, split with another locality
- 5
30 common codes priced for Rest of Maryland
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 | $136.67 | $135.61 | $84.95 |
| 99213 | Visit or care management | $95.97 | $95.19 | $57.77 |
| 97110 | Physical therapy or rehabilitation | $29.35 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $35.43 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $33.06 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $28.00 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $6.42 | $6.35 | $1.69 |
| 88305 | Lab test or pathology | $70.87 | $70.14 | none |
| 93010 | Heart test or procedure | $8.41 | $8.35 | $8.41 |
| 99309 | Visit or care management | $115.37 | $114.57 | $99.15 |
| 99215 | Visit or care management | $193.85 | $192.39 | $126.25 |
| 98941 | Manipulation | $38.79 | $38.41 | $28.32 |
| 71045 | Imaging | $25.61 | $25.38 | none |
| 99204 | Visit or care management | $178.56 | $177.36 | $117.38 |
| 99308 | Visit or care management | $79.43 | $78.83 | $68.28 |
| 93000 | Heart test or procedure | $15.47 | $15.36 | none |
| 92014 | Eye exam or test | $128.56 | $127.26 | $62.65 |
| 99203 | Visit or care management | $118.37 | $117.57 | $71.73 |
| 95004 | Allergy testing or treatment | $3.69 | $3.67 | none |
| 92134 | Eye exam or test | $33.04 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $15.51 | $15.36 | none |
| 99490 | Visit or care management | $66.64 | $66.13 | $43.99 |
| 90837 | Mental health service | $168.69 | $167.00 | $136.58 |
| 93306 | Heart test or procedure | $198.75 | $196.73 | none |
| 99212 | Visit or care management | $59.93 | $59.45 | $31.20 |
| 71046 | Imaging | $33.39 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $67.04 | $66.47 | $48.11 |
| 77067 | Imaging | $127.56 | $126.26 | none |
| 95165 | Allergy testing or treatment | $17.54 | $17.37 | $2.67 |
| 77063 | Imaging | $51.58 | $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.