Hawaii Medicaid Fee Schedule (Med-QUEST)
Med-QUEST pays $65.05 for an established-patient office visit (99213): 17th-lowest of 45 Medicaid programs, at 92% of the median. Its rates for the most-billed codes are below, ranked against every state.
- Schedule as of
- June 2026
- Codes priced
- 11,587
- 99213 vs. median
- 92% of median
Current Med-QUEST rates for common codes
Each amount is the unmodified non-facility rate in the June 2026 schedule. Where a code appears under more than one rate type, it is the state's ordinary statewide rate when its rules name one, and otherwise the median across rate types. Modifier-specific and facility-only rows are listed separately under the service.
| Code | Service | Non-facility rate |
|---|---|---|
| 99213 | Office visit, established patient (low complexity) | $65.0517th-lowest of 45 · 92% of median |
| 99214 | Office visit, established patient (moderate complexity) | $95.6818th-lowest of 45 · 94% of median |
| 99203 | Office visit, new patient (low complexity) | $80.3015th-lowest of 45 · 90% of median |
| 99204 | Office visit, new patient (moderate complexity) | $131.2022nd-lowest of 45 · 98% of median |
| 99285 | Emergency department visit, high severity with threat to function | $166.559th-highest of 42 · 120% of median |
Dot: Hawaii. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.
Hawaii is 17th-lowest of 45 for 99213. See where all 11,587 Med-QUEST codes rank.
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