~4,750
Median wRVUs / yr
Office E&M, hospital admits, subsequent care, and discharge — the codes that make up an internist's day, with 2026 CMS wRVU values and a tracker that handles outpatient + inpatient mix.
Compensation and productivity benchmarks pulled from public physician surveys and the 2026 Medicare Physician Fee Schedule.
The codes that drive the bulk of internal 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 |
| 99205 | Office visit, new patient, high (60 min) | 3.50 | E&M |
| 99221 | Initial hospital care, low complexity | 1.63 | E&M |
| 99223 | Initial hospital care, high complexity | 3.50 | E&M |
| 99231 | Subsequent hospital care, low | 1.00 | E&M |
| 99232 | Subsequent hospital care, moderate | 1.59 | E&M |
| 99233 | Subsequent hospital care, high | 2.40 | E&M |
| 99238 | Hospital discharge, 30 min or less | 1.50 | E&M |
| 99291 | Critical care, first 30-74 min | 4.50 | E&M |
Source: 2026 Medicare Physician Fee Schedule (CMS). Values reflect the national, unadjusted Work RVU.
Where internal 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 internal 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 internal 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.
Since 2021, office E&M can be coded by total time on the date of service OR by medical decision-making. Pick whichever yields the higher level honestly. Document time explicitly when using the time pathway.
G0438 (initial AWV) and G0439 (subsequent AWV) are Medicare-specific. They don't count as a 'preventive' (99381-99397) or as a problem-focused visit. Bill an additional 99213-99215 with -25 if you addressed a problem during the same encounter.
99490 (CCM, 20 min/mo) and 99491 (CCM by physician, 30 min/mo) cover work between visits for patients with 2+ chronic conditions. Many internists leave this on the table; tracker should report monthly CCM minutes.
G2212 replaced 99354/99355 for prolonged office E&M. It's billable in 15-min increments after the highest E&M time threshold is met (e.g., 99205: starting at 75 min).
2026 CMS data pre-loaded for every code. Designed for the cadence of a real internal medicine day.