Medicare's 2026 rates in Dallas, Texas
Medicare payment locality 11, run by contractor 04412, covers these counties: Dallas. Its cost indices put code 99213, billed from an office, at $94.96, 0.2% below the national $95.19.
Cost indices for 2026
- Work (national = 1.000)
- 1.009
- Practice expense (national = 1.000)
- 0.996
- Malpractice (national = 1.000)
- 0.858
- ZIP codes CMS assigns to this locality
- 186
- Of those, split with another locality
- 17
30 common codes priced for Dallas
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 | $135.25 | $135.61 | $84.35 |
| 99213 | Visit or care management | $94.96 | $95.19 | $57.37 |
| 97110 | Physical therapy or rehabilitation | $29.09 | $29.06 | none |
| 97530 | Physical therapy or rehabilitation | $35.08 | $35.07 | none |
| 97112 | Physical therapy or rehabilitation | $32.77 | $32.73 | none |
| 97140 | Physical therapy or rehabilitation | $27.75 | $27.72 | none |
| 17003 | Skin and soft tissue procedure | $6.34 | $6.35 | $1.68 |
| 88305 | Lab test or pathology | $70.09 | $70.14 | none |
| 93010 | Heart test or procedure | $8.34 | $8.35 | $8.34 |
| 99309 | Visit or care management | $114.30 | $114.57 | $98.33 |
| 99215 | Visit or care management | $191.87 | $192.39 | $125.33 |
| 98941 | Manipulation | $38.51 | $38.41 | $28.20 |
| 71045 | Imaging | $25.27 | $25.38 | none |
| 99204 | Visit or care management | $176.67 | $177.36 | $116.46 |
| 99308 | Visit or care management | $78.71 | $78.83 | $67.73 |
| 93000 | Heart test or procedure | $15.28 | $15.36 | none |
| 92014 | Eye exam or test | $127.18 | $127.26 | $62.31 |
| 99203 | Visit or care management | $117.06 | $117.57 | $71.15 |
| 95004 | Allergy testing or treatment | $3.62 | $3.67 | none |
| 92134 | Eye exam or test | $32.64 | $32.73 | none |
| 96372 | Infusion, injection or chemotherapy | $15.33 | $15.36 | none |
| 99490 | Visit or care management | $65.98 | $66.13 | $43.69 |
| 90837 | Mental health service | $167.89 | $167.00 | $136.28 |
| 93306 | Heart test or procedure | $196.19 | $196.73 | none |
| 99212 | Visit or care management | $59.24 | $59.45 | $30.97 |
| 71046 | Imaging | $32.93 | $33.07 | none |
| 17000 | Skin and soft tissue procedure | $66.18 | $66.47 | $47.55 |
| 77067 | Imaging | $125.84 | $126.26 | none |
| 95165 | Allergy testing or treatment | $17.28 | $17.37 | $2.64 |
| 77063 | Imaging | $51.02 | $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.