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Fee-for-service ratesAs of July 2026

Oklahoma Medicaid Fee Schedule (SoonerCare)

SoonerCare pays $83.62 for an established-patient office visit (99213): 13th-highest of 45 Medicaid programs, at 118% of the median. Its rates for the most-billed codes are below, ranked against every state.

Schedule as of
July 2026
Codes priced
9,711
99213 vs. median
118% of median

Current SoonerCare rates for common codes

Each amount is the unmodified non-facility rate in the July 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.

CodeServiceNon-facility rate
99213Office visit, established patient (low complexity)$83.62In effect since Jul 1, 202613th-highest of 45 · 118% of median
99214Office visit, established patient (moderate complexity)$119.30In effect since Jul 1, 202612th-highest of 45 · 118% of median
99203Office visit, new patient (low complexity)$103.08In effect since Jul 1, 202614th-highest of 45 · 115% of median
99204Office visit, new patient (moderate complexity)$156.12In effect since Jul 1, 202614th-highest of 45 · 116% of median
99285Emergency department visit, high severity with threat to function$154.91In effect since Jul 1, 202612th-highest of 42 · 112% of median

Compare any other code across state programs. The free view shows a few states per code; Oklahoma's full schedule is in the complete dataset.