~4,500
Median wRVUs / yr
Well-child visits across every age band, sick visits, immunizations, and newborn care — the codes that make up a pediatric day with 2026 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 pediatrics 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 |
| 99391 | Preventive est. patient, infant under 1 | 1.37 | E&M |
| 99392 | Preventive est. patient, age 1-4 | 1.50 | E&M |
| 99393 | Preventive est. patient, age 5-11 | 1.50 | E&M |
| 99394 | Preventive est. patient, age 12-17 | 1.70 | E&M |
| 99381 | Preventive new patient, infant under 1 | 1.50 | E&M |
| 99382 | Preventive new patient, age 1-4 | 1.60 | E&M |
| 99460 | Newborn care, hospital, per day, initial | 1.92 | E&M |
| 99462 | Newborn care, hospital, subsequent | 0.84 | E&M |
| 90460 | Immunization admin with counseling, first component | 0.24 | Procedure |
| 90461 | Immunization admin with counseling, each additional | 0.18 | Procedure |
Source: 2026 Medicare Physician Fee Schedule (CMS). Values reflect the national, unadjusted Work RVU.
Where pediatrics 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 pediatrics 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 pediatrics 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.
For patients under 19, the counseling-inclusive immunization codes (90460 first component, 90461 each additional) pay meaningfully better than 90471/90472 when the physician personally counsels on the vaccine. Document the counseling clearly.
When a well-child visit uncovers a problem requiring its own E&M (acute otitis media, asthma exacerbation), bill both with -25 on the office E&M. Documentation must show two distinct services.
96110 (developmental screening, e.g., M-CHAT or Ages & Stages) is an add-on to a preventive visit — small wRVU but billable on every well-child where you administer the tool.
99238 / 99239 (discharge management) require physician time documentation. For newborns discharging on day 2, the discharge isn't bundled into the initial 99460 — it's separately billable.
2026 CMS data pre-loaded for every code. Designed for the cadence of a real pediatrics day.