How Much Does Medicaid Pay for Office o/p new mod 45 min?

HCPCS 99204 Part of Doctor Visits Year 2024

State-by-State Reimbursement Rates

StateAvg / ClaimTotal ClaimsTotal PaidProviders
Alabama$74.7057,293$4,279,866.55243
Alaska$197.092,531$498,843.9548
Arizona$83.90172,708$14,489,538.35511
Arkansas$57.5514,328$824,584.62115
California$77.421,122,178$86,874,138.563,201
Colorado$109.8061,349$6,736,226.79405
Connecticut$85.1988,027$7,499,268.35227
Delaware$99.2321,640$2,147,355.8976
District of Columbia$135.8916,897$2,296,106.9138
Florida$123.37146,406$18,061,994.04622
Georgia$124.7135,907$4,477,803.7289
Guam$152.00427$64,904.118
Hawaii$124.686,201$773,123.2461
Idaho$124.6610,119$1,261,433.7061
Illinois$87.00130,930$11,391,011.941,153
Indiana$109.95127,583$14,028,250.71368
Iowa$76.2220,289$1,546,401.91115
Kansas$99.4613,113$1,304,179.0769
Kentucky$73.91130,872$9,672,154.89462
Louisiana$76.86212,764$16,353,116.92465
Maine$68.4723,064$1,579,132.1079
Maryland$118.49138,353$16,393,946.02457
Massachusetts$103.12113,968$11,752,029.23416
Michigan$93.07345,659$32,169,988.211,051
Minnesota$112.2126,861$3,014,062.09170
Mississippi$69.2338,438$2,660,891.31147
Missouri$127.3447,524$6,051,848.51197
Montana$113.657,199$818,144.7851
Nebraska$87.5612,396$1,085,395.1865
Nevada$106.0447,168$5,001,898.94209
New Hampshire$86.097,600$654,257.6353
New Jersey$112.41161,674$18,173,948.97449
New Mexico$159.2758,883$9,378,467.86190
New York$133.11455,073$60,576,808.721,731
North Carolina$92.83212,796$19,754,454.58690
North Dakota$127.731,853$236,687.3815
Ohio$76.07195,647$14,882,088.34585
Oklahoma$149.8879,876$11,971,975.51364
Oregon$127.9360,250$7,707,945.13242
Pennsylvania$96.75103,338$9,997,781.01718
Puerto Rico$124.9327,768$3,469,186.61208
Rhode Island$137.9112,164$1,677,594.31100
South Carolina$97.0246,656$4,526,541.51185
South Dakota$93.1815,031$1,400,543.0654
Tennessee$83.38169,795$14,157,591.44399
Texas$85.66164,617$14,101,648.36694
U.S. Virgin Islands$158.47576$91,281.3211
Utah$98.5437,034$3,649,259.58158
Vermont$72.447,009$507,699.3023
Virginia$109.06141,038$15,381,394.49419
Washington$101.4280,292$8,142,963.59248
West Virginia$84.9773,889$6,278,623.82141
Wisconsin$88.1525,350$2,234,625.78127
Wyoming$99.791,376$137,313.017