Pennsylvania Medicaid rate for CPT 99283
Pennsylvania Medical Assistance pays $56.65 for CPT 99283 in its October 2026 fee-for-service schedule: the 20th-highest of 42 state Medicaid programs, at 101% of the $56.245 median.
- Non-facility rate
- $56.65
- Rank
- 20 of 42
- vs. state median
- 101%
- vs. PA Medicare
- 79-83%
What Pennsylvania Medical Assistance publishes for 99283
20th-highest of 42 · 101% of median
- Schedule
- October 2026
- In effect since
- Sep 1, 2021
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. DHS Outpatient Fee Schedule
99283 in neighboring states
Each state's comparable non-facility rate for 99283 in its current schedule.
| State | Rate | vs. Pennsylvania |
|---|---|---|
| Delaware | $67.57 | +19% |
| New Jersey | $48.44 | -14% |
| Ohio | $37.68 | -33% |
| West Virginia | $51.24 | -10% |
99283 in every state
Map and ranking of every state program that prices 99283.
Compare 99283 across states99283 under Medicare
Medicare's 2026 non-facility payment for 99283 in Pennsylvania is $68.34 to $72.11 across its 2 payment localities; Pennsylvania Medical Assistance's rate is 79-83% of that. The national amount before geographic adjustment is $69.474.
See 99283 Medicare ratesSee Pennsylvania's full schedule: all 6,593 codes, every published period, and commercial payer rates for 99283.
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