The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99402. 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
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Publishing states
34
Median % of Medicare
--
Rate range
$13.00 - $111.27
99402 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $111.27 | -- | -- | 2026 |
| Alabama | $13.00 | -- | -- | 2026 |
| Arkansas | $76.14* | -- | -- | 2026 |
| Arizona | $58.24 | -- | -- | 2022 |
| California | $25.58 | -- | -- | 2026 |
| Colorado | $56.07 | -- | -- | 2026 |
| Connecticut | $57.28 | -- | -- | 2008 |
| District of Columbia | $57.71 | -- | Not required | 2026 |
| Delaware | $45.45 | -- | -- | 2026 |
| Florida | $32.73 | -- | -- | 2026 |
| Iowa | $17.32 | -- | -- | 2024 |
| Idaho | $68.03 | -- | Not required | 2025 |
| Indiana | $58.10 | -- | -- | 2025 |
| Kansas | $20.00 | -- | -- | 1992 |
| Kentucky | $44.48 | -- | -- | 2026 |
| Louisiana | $33.64 | -- | -- | 2026 |
| Massachusetts | $47.16 | -- | -- | 2026 |
| Maine | $61.64 | -- | -- | 2026 |
| Michigan | $26.84 | -- | -- | 2026 |
| Minnesota | $50.38 | -- | -- | 2026 |
| Missouri | $76.51 | -- | Required | 2022 |
| Mississippi | $60.10 | -- | -- | 2026 |
| Montana | $84.87 | -- | -- | 2026 |
| North Dakota | $71.34 | -- | Not required | 2026 |
| New Hampshire | $30.65 | -- | Not required | 2026 |
| New Jersey | $48.81 | -- | Not required | 2026 |
| New Mexico | $88.60 | -- | -- | 2025 |
| Nevada | $40.16 | -- | -- | 2022 |
| Ohio | $42.29 | -- | -- | 2024 |
| South Carolina | $45.64 | -- | -- | 2024 |
| Vermont | $54.04 | -- | -- | 2026 |
| Wisconsin | $18.97 | -- | -- | 2008 |
| West Virginia | $44.65 | -- | -- | 2026 |
| Wyoming | $57.50 | -- | -- | 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 99402?
34 state Medicaid programs publish a fee-for-service rate for 99402 (preventive counseling, 30 minutes), ranging from $13.00 in Alabama to $111.27 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99402?
Alaska publishes the highest Medicaid rate for 99402 at $111.27. Alabama publishes the lowest at $13.00.
Does 99402 require prior authorization under Medicaid?
1 of the 34 publishing states flag 99402 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".