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Fee-for-service rateAs of July 2026

Georgia Medicaid rate for CPT 99203

Georgia Medicaid pays $76.53 for CPT 99203 in its July 2026 fee-for-service schedule: the 11th-lowest of 45 state Medicaid programs, at 86% of the $89.35 median.

Non-facility rate
$76.53
Rank
35 of 45
vs. state median
86%
vs. GA Medicare
64-68%

What Georgia Medicaid publishes for 99203

11th-lowest of 45 · 86% of median

11th-lowest of 45 · 86% of median

Schedule
July 2026
In effect since
Jul 1, 2021
$76.53 to $109.35 across 3 rate types
Enhanced rate · Midlevel Practitioners
$109.35
Enhanced rate · Physicians
$109.35
General
$76.53

Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. GAMMIS Fee Schedules

99203 in neighboring states

Each state's comparable non-facility rate for 99203 in its current schedule.

StateRatevs. Georgia
Alabama$163.92+114%
North Carolina$80.86+6%
South Carolina$81.29+6%

99203 under Medicare

Medicare's 2026 non-facility payment for 99203 in Georgia is $112.25 to $119.75 across its 2 payment localities; Georgia Medicaid's rate is 64-68% of that. The national amount before geographic adjustment is $117.571.

See 99203 Medicare rates

See Georgia's full schedule: all 7,107 codes, every published period, and commercial payer rates for 99203.

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Other Georgia Medicaid rates