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Fee-for-service rateAs of July 2026

Georgia Medicaid rate for CPT 99214

Georgia Medicaid pays $115.71 for CPT 99214 in its July 2026 fee-for-service schedule: the 14th-highest of 45 state Medicaid programs, at 114% of the $101.32 median.

Non-facility rate
$115.71
Rank
14 of 45
vs. state median
114%
vs. GA Medicare
84-89%

What Georgia Medicaid publishes for 99214

14th-highest of 45 · 114% of median

14th-highest of 45 · 114% of median

Schedule
July 2026
In effect since
Jul 1, 2025
$115.71 to $118.20 across 3 rate types
Enhanced rate · Midlevel Practitioners
$118.20
Enhanced rate · Physicians
$118.20
General
$115.71
1 rate type
Enhanced rate · Facility Place of Service (POS)
Facility $88.91

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

99214 in neighboring states

Each state's comparable non-facility rate for 99214 in its current schedule.

StateRatevs. Georgia
Alabama$164.23+42%
North Carolina$81.76-29%
South Carolina$98.84-15%

99214 under Medicare

Medicare's 2026 non-facility payment for 99214 in Georgia is $129.29 to $137.81 across its 2 payment localities; Georgia Medicaid's rate is 84-89% of that. The national amount before geographic adjustment is $135.608.

See 99214 Medicare rates

See Georgia's full schedule: all 7,107 codes, every published period, and commercial payer rates for 99214.

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Other Georgia Medicaid rates