~4,500
Median wRVUs / yr
Office E&M, preventive visits across the lifespan, immunizations, and procedures — the full breadth of family medicine, mapped to current CMS wRVU values.
Compensation and productivity benchmarks pulled from public physician surveys and the 2026 Medicare Physician Fee Schedule.
The codes that drive the bulk of family medicine billing, with current Work RVU values from the 2026 Medicare Physician Fee Schedule. Use these as a baseline — locality (GPCI) and modifiers adjust the final payment.
| Code | Description | wRVU | Type |
|---|---|---|---|
| 99213 | Office visit, est. patient, low (20 min) | 1.30 | E&M |
| 99214 | Office visit, est. patient, moderate (30 min) | 1.92 | E&M |
| 99215 | Office visit, est. patient, high (40 min) | 2.80 | E&M |
| 99203 | Office visit, new patient, low (30 min) | 1.60 | E&M |
| 99204 | Office visit, new patient, moderate (45 min) | 2.60 | E&M |
| 99391 | Preventive est. patient, infant under 1 | 1.37 | E&M |
| 99393 | Preventive est. patient, age 5-11 | 1.50 | E&M |
| 99395 | Preventive est. patient, age 18-39 | 1.75 | E&M |
| 99396 | Preventive est. patient, age 40-64 | 1.90 | E&M |
| 99385 | Preventive new patient, age 18-39 | 1.92 | E&M |
| 90471 | Immunization administration, first | 0.17 | Procedure |
| 90472 | Immunization administration, additional | 0.15 | Procedure |
| 17110 | Destruction benign lesion, 1-14 | 0.70 | Procedure |
Source: 2026 Medicare Physician Fee Schedule (CMS). Values reflect the national, unadjusted Work RVU.
Where family medicine productivity falls across the percentile distribution. Most RVU-based contracts target the median (50th percentile); high-volume practices push into the 75th-90th range.
MGMA-aligned 2024 estimates. Verify with your group's data source for contract negotiations.
Typical total compensation ranges across a family medicine career. Numbers blend salary, RVU productivity, and bonus components reported in physician surveys.
First 1-3 years out of training. Base-heavy contracts; productivity bonuses begin to ramp.
Years 4-10. RVU-based comp dominates as case volume settles into a steady pattern.
10+ years, partnership track, ASC ownership, or high-volume practice settings.
Ranges synthesized from Doximity 2024 and AMGA / MGMA-aligned compensation reports. Actual offers vary by region, practice setting, and case mix.
Most RVU tools were built for one type of day. RVU Tracker handles the mix of clinic, procedures, and inpatient work that actually shows up on a family medicine schedule.
Save your most-used codes as quick-add buttons. Log a visit in seconds between patients.
Add multiple codes per encounter; the tracker sums correctly with MPPR awareness when relevant.
Tag clinic vs. procedure days and see productivity per session. Decide where to add capacity.
Every code ships with current Work RVU values. Year-over-year updates roll out automatically.
Set your wRVU threshold. The tracker shows monthly pace and projects year-end totals.
Plug in your conversion factor and see real-time earnings. Compare offers during contract review.
A few high-leverage details that quietly cost RVUs (and revenue) when missed.
When a preventive visit (99391-99397) uncovers a problem worth its own E&M, bill both: preventive code + 99213-99215 with -25. Documentation must distinguish the two work streams clearly.
G0438 / G0439 are Medicare-only and replace the commercial-style 99397. They cover risk assessment, screening, and care planning — not the head-to-toe physical many patients expect.
For patients under 19, use 90460 (first vaccine) and 90461 (additional component) instead of 90471/90472. The counseling-inclusive codes pay better when the physician spends time on vaccine education.
Doing a 17110 (destruction) at the end of an E&M visit? Append -25 to the E&M to flag the visit as a separately identifiable service. Without it, payers bundle the visit into the procedure.
2026 CMS data pre-loaded for every code. Designed for the cadence of a real family medicine day.