The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99401. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
40
Median % of Medicare
--
Rate range
$10.00 - $65.96
99401 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $65.96 | -- | -- | 2026 |
| Alabama | $13.00 | -- | -- | 2026 |
| Arkansas | $12.21* | -- | -- | 2026 |
| Arizona | $35.10 | -- | -- | 2024 |
| California | $12.94 | -- | -- | 2026 |
| Colorado | $29.46 | -- | -- | 2026 |
| Connecticut | $34.31 | -- | -- | 2008 |
| District of Columbia | $35.82 | -- | Not required | 2026 |
| Delaware | $22.72 | -- | -- | 2026 |
| Florida | $16.11 | -- | -- | 2026 |
| Iowa | $12.69 | -- | -- | 2024 |
| Idaho | $40.22 | -- | Not required | 2025 |
| Illinois | $29.19 | -- | -- | 2012 |
| Indiana | $35.52 | -- | -- | 2025 |
| Kansas | $10.00 | -- | -- | 2021 |
| Kentucky | $25.64 | -- | -- | 2026 |
| Louisiana | $19.72 | -- | -- | 2026 |
| Massachusetts | $29.43 | -- | -- | 2026 |
| Maryland | $42.41 | -- | -- | 2022 |
| Maine | $37.55 | -- | -- | 2026 |
| Michigan | $13.21 | -- | -- | 2026 |
| Minnesota | $30.96 | -- | -- | 2026 |
| Missouri | $38.26 | -- | Varies | 2022 |
| Mississippi | $36.33 | -- | -- | 2026 |
| Montana | $52.18 | -- | -- | 2026 |
| North Carolina | $32.94 | -- | -- | 2021 |
| North Dakota | $43.93 | -- | Not required | 2026 |
| New Hampshire | $18.40 | -- | Not required | 2026 |
| New Jersey | $27.99 | -- | Not required | 2026 |
| New Mexico | $53.85 | -- | -- | 2025 |
| Nevada | $36.83 | -- | -- | 2024 |
| New York | $12.63 | -- | -- | 2026 |
| Ohio | $27.78 | -- | -- | 2024 |
| Oklahoma | $34.72 | -- | -- | 2026 |
| South Carolina | $27.81 | -- | -- | 2024 |
| Vermont | $33.25 | -- | -- | 2026 |
| Washington | $24.27 | -- | -- | 2026 |
| Wisconsin | $30.00 | -- | -- | 2021 |
| West Virginia | $26.84 | -- | -- | 2026 |
| Wyoming | $33.42 | -- | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related physician codes
- 10021 - Fine needle aspiration biopsy, first lesion, no imaging
- 10060 - Drainage of a skin abscess, simple
- 10061 - Drainage of a skin abscess, complicated or multiple
- 10120 - Removal of a foreign body from tissue, simple
- 10140 - Drainage of a blood or fluid collection under the skin
- 11042 - Wound debridement, skin and tissue below, first 20 sq cm
- 11043 - Wound debridement to muscle, first 20 sq cm
- 11044 - Wound debridement to bone, first 20 sq cm
Frequently asked questions
How much does Medicaid pay for 99401?
40 state Medicaid programs publish a fee-for-service rate for 99401 (preventive counseling, 15 minutes), ranging from $10.00 in Kansas to $65.96 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99401?
Alaska publishes the highest Medicaid rate for 99401 at $65.96. Kansas publishes the lowest at $10.00.
Does 99401 require prior authorization under Medicaid?
No publishing state flags 99401 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.