Delaware Medicaid Fee Schedule (Delaware Medical Assistance Program)
Delaware Medical Assistance Program pays $92.63 for an established-patient office visit (99213): 9th-highest of 45 Medicaid programs, at 130% of the median. Its rates for the most-billed codes are below, ranked against every state.
- Schedule as of
- January 2026
- Codes priced
- 10,050
- 99213 vs. median
- 130% of median
Current Delaware Medical Assistance Program rates for common codes
Each amount is the unmodified non-facility rate in the January 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) | $92.639th-highest of 45 · 130% of median |
| 99214 | Office visit, established patient (moderate complexity) | $131.969th-highest of 45 · 130% of median |
| 99203 | Office visit, new patient (low complexity) | $114.2610th-highest of 45 · 128% of median |
| 99204 | Office visit, new patient (moderate complexity) | $172.4710th-highest of 45 · 129% of median |
| 99285 | Emergency department visit, high severity with threat to function | $166.738th-highest of 42 · 120% of median |
Dot: Delaware. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.
Delaware is 9th-highest of 45 for 99213. See where all 10,050 Delaware Medical Assistance Program codes rank.
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Compare any other code across state programs. The free view shows a few states per code; Delaware's full schedule is in the complete dataset.
Neighboring and high-enrollment Medicaid fee schedules
States bordering Delaware first, then the largest programs.