Georgia Medicaid rate for CPT 99285
Georgia Medicaid pays $132.41 for CPT 99285 in its July 2026 fee-for-service schedule: the 17th-lowest of 42 state Medicaid programs, at 95% of the $138.69 median.
- Non-facility rate
- $132.41
- Rank
- 26 of 42
- vs. state median
- 95%
- vs. GA Medicare
- 76-77%
What Georgia Medicaid publishes for 99285
17th-lowest of 42 · 95% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2021
$132.41 to $177.20 across 3 rate types
- Enhanced rate · Midlevel Practitioners
- $177.20
- Enhanced rate · Physicians
- $177.20
- General
- $132.41
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
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
| State | Rate | vs. Georgia |
|---|---|---|
| Alabama | $272.74 | +106% |
| North Carolina | $138.64 | +5% |
| South Carolina | $129.13 | -2% |
99285 in every state
Map and ranking of every state program that prices 99285.
Compare 99285 across states99285 under Medicare
Medicare's 2026 non-facility payment for 99285 in Georgia is $172.08 to $175.32 across its 2 payment localities; Georgia Medicaid's rate is 76-77% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee Georgia's full schedule: all 7,107 codes, every published period, and commercial payer rates for 99285.
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