How Much Does Medicaid Pay for Emr dpt vst mayx req phy/qhp?

HCPCS 99281 Year 2024

Average Payment by State

StateValue
Alabama$48.97
Alaska$175.07
Arizona$81.85
Arkansas$26.72
California$116.21
Colorado$184.82
Connecticut$81.69
Delaware$140.32
District of Columbia$300.09
Florida$115.52
Georgia$68.06
Guam$354.87
Hawaii$314.31
Idaho$101.57
Illinois$61.14
Indiana$158.03
Iowa$14.61
Kansas$47.16
Kentucky$89.21
Louisiana$52.95
Maine$17.86
Maryland$44.88
Massachusetts$172.00
Michigan$51.63
Minnesota$87.71
Mississippi$52.39
Missouri$51.18
Montana$3.90
Nebraska$131.89
Nevada$55.71
New Hampshire$64.49
New Jersey$126.35
New Mexico$75.39
New York$184.72
North Carolina$43.60
North Dakota$117.11
Ohio$122.04
Oklahoma$75.68
Oregon$70.99
Pennsylvania$165.97
Puerto Rico$17.69
Rhode Island$213.76
South Carolina$152.56
South Dakota$111.72
Tennessee$81.14
Texas$97.48
U.S. Virgin Islands$200.38
Utah$39.49
Virginia$214.83
Washington$118.01
West Virginia$34.73
Wisconsin$97.49
Wyoming$87.31

State-by-State Reimbursement Rates

StateAvg / ClaimTotal ClaimsTotal PaidProviders
Alabama$48.971,134$55,534.0910
Alaska$175.076,797$1,189,920.458
Arizona$81.8513,544$1,108,528.0950
Arkansas$26.72771$20,604.808
California$116.21584,727$67,954,008.40227
Colorado$184.8210,415$1,924,867.2318
Connecticut$81.697,706$629,474.3520
Delaware$140.325,825$817,391.553
District of Columbia$300.093,900$1,170,350.057
Florida$115.5211,963$1,382,014.7239
Georgia$68.063,072$209,076.7112
Guam$354.8740$14,194.601
Hawaii$314.318,854$2,782,868.3613
Idaho$101.5714$1,422.011
Illinois$61.141,438$87,923.365
Indiana$158.032,038$322,070.6715
Iowa$14.6166,830$976,585.7740
Kansas$47.161,665$78,521.617
Kentucky$89.2117,651$1,574,617.6750
Louisiana$52.9511,656$617,131.5934
Maine$17.862,383$42,549.479
Maryland$44.887,324$328,691.3220
Massachusetts$172.0011,448$1,969,092.5936
Michigan$51.6332,169$1,660,786.8279
Minnesota$87.711,024$89,815.9610
Mississippi$52.3914,105$738,985.8250
Missouri$51.182,647$135,472.2921
Montana$3.905,958$23,239.0916
Nebraska$131.89697$91,929.475
Nevada$55.7113,450$749,321.2537
New Hampshire$64.49142$9,158.152
New Jersey$126.3520,505$2,590,806.6048
New Mexico$75.399,077$684,308.7227
New York$184.7248,596$8,976,534.75102
North Carolina$43.606,511$283,855.5228
North Dakota$117.1121$2,459.261
Ohio$122.0438,316$4,676,128.2288
Oklahoma$75.685,597$423,596.2714
Oregon$70.993,741$265,584.3217
Pennsylvania$165.977,978$1,324,072.2020
Puerto Rico$17.6910,968$194,014.1514
Rhode Island$213.76506$108,161.024
South Carolina$152.568,443$1,288,082.5330
South Dakota$111.721,051$117,420.423
Tennessee$81.144,746$385,075.6922
Texas$97.4820,685$2,016,382.4779
U.S. Virgin Islands$200.381,792$359,080.842
Utah$39.4927$1,066.211
Virginia$214.8318,118$3,892,215.5951
Washington$118.0127,951$3,298,364.1353
West Virginia$34.731,255$43,588.538
Wisconsin$97.4914,819$1,444,694.7738
Wyoming$87.31113$9,866.361