Georgia Medicaid rate for CPT 99213
Georgia Medicaid pays $82.05 for CPT 99213 in its July 2026 fee-for-service schedule: the 14th-highest of 45 state Medicaid programs, at 115% of the $71.05 median.
- Non-facility rate
- $82.05
- Rank
- 14 of 45
- vs. state median
- 115%
- vs. GA Medicare
- 85-91%
What Georgia Medicaid publishes for 99213
14th-highest of 45 · 115% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2025
$82.05 to $83.82 across 3 rate types
- Enhanced rate · Midlevel Practitioners
- $83.82
- Enhanced rate · Physicians
- $83.82
- General
- $82.05
1 rate type
- Enhanced rate · Facility Place of Service (POS)
- Facility $60.32
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
99213 in neighboring states
Each state's comparable non-facility rate for 99213 in its current schedule.
| State | Rate | vs. Georgia |
|---|---|---|
| Alabama | $110.42 | +35% |
| North Carolina | $54.26 | -34% |
| South Carolina | $69.94 | -15% |
99213 in every state
Map and ranking of every state program that prices 99213.
Compare 99213 across states99213 under Medicare
Medicare's 2026 non-facility payment for 99213 in Georgia is $90.50 to $96.71 across its 2 payment localities; Georgia Medicaid's rate is 85-91% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee Georgia's full schedule: all 7,107 codes, every published period, and commercial payer rates for 99213.
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