Arizona Medicaid Fee Schedule (AHCCCS)
AHCCCS pays $57.78 to $67.60 for an established-patient office visit (99213), depending on the rate type. Its median across rate types, $60.84, is the 14th-lowest of 45 Medicaid programs.
- Schedule as of
- October 2026
- Codes priced
- 7,610
- 99213 vs. median
- 86% of median
Current AHCCCS rates for common codes
Each amount is the unmodified non-facility rate in the October 2026 schedule. Where a code appears under more than one rate type, it is the state's ordinary statewide rate when its rules name one, and otherwise the median across rate types. Modifier-specific and facility-only rows are listed separately under the service.
| Code | Service | Non-facility rate |
|---|---|---|
| 99213 | Office visit, established patient (low complexity)$57.78 to $67.60 across 7 rate types
| $60.84Median across rate typesIn effect since Oct 1, 202414th-lowest of 45 · 86% of median |
| 99214 | Office visit, established patient (moderate complexity)$81.50 to $95.35 across 7 rate types
| $85.81Median across rate typesIn effect since Oct 1, 202413th-lowest of 45 · 85% of median |
| 99203 | Office visit, new patient (low complexity)$70.93 to $82.99 across 7 rate types
| $74.69Median across rate typesIn effect since Oct 1, 20249th-lowest of 45 · 84% of median |
| 99204 | Office visit, new patient (moderate complexity)$106.28 to $124.35 across 7 rate types
| $111.91Median across rate typesIn effect since Oct 1, 202410th-lowest of 45 · 83% of median |
| 99285 | Emergency department visit, high severity with threat to function$144.39 to $160.43 across 6 rate types
| $152.41Median across rate typesIn effect since Oct 1, 202613th-highest of 42 · 110% of median |
Dot: Arizona. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.
Arizona's median is 14th-lowest of 45 for 99213. See where all 7,610 AHCCCS codes rank.
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Compare any other code across state programs. The free view shows a few states per code; Arizona's full schedule is in the complete dataset.
Neighboring and high-enrollment Medicaid fee schedules
States bordering Arizona first, then the largest programs.