Georgia Medicaid rate for CPT 99204
Georgia Medicaid pays $110.51 for CPT 99204 in its July 2026 fee-for-service schedule: the 8th-lowest of 45 state Medicaid programs, at 82% of the $134.20 median.
- Non-facility rate
- $110.51
- Rank
- 38 of 45
- vs. state median
- 82%
- vs. GA Medicare
- 61-65%
What Georgia Medicaid publishes for 99204
8th-lowest of 45 · 82% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2021
$110.51 to $167.09 across 2 rate types
- Enhanced rate · Physicians
- $167.09
- General
- $110.51
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
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
| State | Rate | vs. Georgia |
|---|---|---|
| Alabama | $251.30 | +127% |
| North Carolina | $125.39 | +13% |
| South Carolina | $122.26 | +11% |
99204 in every state
Map and ranking of every state program that prices 99204.
Compare 99204 across states99204 under Medicare
Medicare's 2026 non-facility payment for 99204 in Georgia is $169.99 to $180.55 across its 2 payment localities; Georgia Medicaid's rate is 61-65% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Georgia's full schedule: all 7,107 codes, every published period, and commercial payer rates for 99204.
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