Fee-for-service rateAs of October 2026

Rhode Island Medicaid rate for CPT 99214

Office visit, established patient (moderate complexity)

Rhode Island Medicaid pays a median of $138.53 across its rate types for CPT 99214 in its October 2026 fee-for-service schedule: the 7th-highest of 45 state Medicaid programs, at 137% of the $101.32 median.

Non-facility rate: $138.53
Rank: 7 of 45
vs. state median: 137%
vs. RI Medicare: 100%

What Rhode Island Medicaid publishes for 99214

7th-highest of 45 · 137% of median

Schedule: October 2026
In effect since: Jul 1, 2026

$128.78 to $138.53 across 3 rate types

General: $138.53
Program MPR010 · Level 3 · Up to 1 unit: $138.53
Program MMH015 · Level 3 · Up to 1 unit: $128.78

11 rate types

Program MMH015 · Level 4 · PAC S · Up to 1 unit (TD + TF): $100.30
Level 3 · PAC I · Up to 1 unit (25 + GC): $138.53
Level 3 · PAC I · Up to 1 unit (25): $138.53
Level 3 · PAC I · Up to 1 unit (95): $138.53
Level 3 · PAC I · Up to 1 unit (AQ): $138.53
Level 3 · PAC I · Up to 1 unit (CR): $138.53
Level 3 · PAC I · Up to 1 unit (GA): $138.53
Level 3 · PAC I · Up to 1 unit (GC): $138.53
Level 3 · PAC I · Up to 1 unit (GT): $138.53
Level 3 · PAC I · Up to 1 unit (SA + 95): $138.53
Level 4 · PAC S · Up to 1 unit (U8): $117.75

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. EOHHS Fee Schedules

99214 in neighboring states

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

State	Rate	vs. Rhode Island
Connecticut	$89.68	-35%
Massachusetts	$96.15	-31%

99214 in every state

Map and ranking of every state program that prices 99214.

Compare 99214 across states

99214 under Medicare

Medicare's 2026 non-facility payment for 99214 in Rhode Island is $138.53; Rhode Island Medicaid's rate is 100% of that. The national amount before geographic adjustment is $135.608.

See 99214 Medicare rates

See Rhode Island's full schedule: all 12,354 codes, every published period, and commercial payer rates for 99214.

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Other Rhode Island Medicaid rates

99213$97.30 99203$119.95 99204$180.87 99283$38.00 99284$59.20 99285$92.55 93000$16.31 93306$153.15 96372$12.59 20610$25.20 11042$25.20 12001$25.20 29881$336.00 45378$172.14 47562$354.60 64483$115.17 66984$604.34 90834$101.75 90837$135.68