Medicare's 2026 rates in Queens, New York
Medicare payment locality 04, run by contractor 13292, covers these counties: Queens. Its cost indices put code 99213, billed from an office, at $108.18, 13.6% above the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.064
- Practice expense (national = 1.000)
- 1.182
- Malpractice (national = 1.000)
- 1.442
- ZIP codes CMS assigns to this locality
- 84
- Of those, split with another locality
- 1
30 common codes priced for Queens
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 | $153.94 | $135.61 | $93.53 |
| 99213 | Visit or care management | $108.18 | $95.19 | $63.56 |
| 97110 | Physical therapy or rehabilitation | $32.66 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $39.81 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $36.81 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $31.16 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $7.34 | $6.35 | $1.82 |
| 88305 | Lab test or pathology | $80.20 | $70.14 | none |
| 93010 | Heart test or procedure | $9.29 | $8.35 | $9.29 |
| 99309 | Visit or care management | $129.06 | $114.57 | $110.11 |
| 99215 | Visit or care management | $218.19 | $192.39 | $139.23 |
| 98941 | Manipulation | $42.77 | $38.41 | $30.53 |
| 71045 | Imaging | $29.47 | $25.38 | none |
| 99204 | Visit or care management | $201.47 | $177.36 | $130.02 |
| 99308 | Visit or care management | $88.74 | $78.83 | $75.72 |
| 93000 | Heart test or procedure | $17.66 | $15.36 | none |
| 92014 | Eye exam or test | $145.17 | $127.26 | $68.18 |
| 99203 | Visit or care management | $134.05 | $117.57 | $79.57 |
| 95004 | Allergy testing or treatment | $4.39 | $3.67 | none |
| 92134 | Eye exam or test | $37.64 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $17.58 | $15.36 | none |
| 99490 | Visit or care management | $74.84 | $66.13 | $48.39 |
| 90837 | Mental health service | $182.67 | $167.00 | $145.17 |
| 93306 | Heart test or procedure | $227.63 | $196.73 | none |
| 99212 | Visit or care management | $68.04 | $59.45 | $34.48 |
| 71046 | Imaging | $38.43 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $76.76 | $66.47 | $54.65 |
| 77067 | Imaging | $146.75 | $126.26 | none |
| 95165 | Allergy testing or treatment | $20.38 | $17.37 | $3.01 |
| 77063 | Imaging | $58.34 | $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.