; (2) in paragraph (2)— (A) by inserting (before 2020) after subsequent year ; and (B) by striking the period at the end and inserting a semicolon; and (3) by adding at the end the following new paragraphs: (3) in 2020, at $92.03 per visit; and (4) in a subsequent year, at the limit established under this subsection for the previous year increased by the percentage increase in the MEI (as so defined) applicable to primary care services (as so defined) furnished as of the first day of that year. .