The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99499. 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
$29/mo after the trial. Cancel anytime.
Publishing states
12
Median % of Medicare
--
Rate range
$5.38 - $24,366.00
99499 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Florida | $24,366.00* | -- | -- | 2025 |
| Hawaii | $32.99 | -- | -- | 2025 |
| Indiana | $43.15 | -- | -- | 2025 |
| Massachusetts | $5.38 | -- | -- | 2025 |
| Maine | $37.30 | -- | -- | 2026 |
| Missouri | $72.00 | -- | Not required | 2023 |
| New Hampshire | $6.13 | -- | Not required | 2026 |
| New Jersey | $9.94 | -- | Not required | 2026 |
| Pennsylvania | $7.00 | -- | -- | 2006 |
| South Carolina | $7.00 | -- | -- | 2013 |
| Washington | $29.46* | -- | -- | 2026 |
| Wisconsin | $128.18 | -- | -- | 2006 |
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
- 10004 - Needle biopsy without imaging, each added lesion
- 10005 - Needle biopsy with ultrasound guidance, first lesion
- 10006 - Needle biopsy with ultrasound guidance, each added lesion
- 10007 - Needle biopsy with fluoroscopic guidance, first lesion
- 10009 - Needle biopsy with CT guidance, first lesion
- 10011 - Needle biopsy with MRI guidance, first lesion
- 10012 - Needle biopsy with MRI guidance, each added lesion
- 10021 - Fine needle aspiration biopsy, first lesion, no imaging
Frequently asked questions
How much does Medicaid pay for 99499?
12 state Medicaid programs publish a fee-for-service rate for 99499 (unlisted evaluation and management service), ranging from $5.38 in Massachusetts to $24,366.00 in Florida. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99499?
Florida publishes the highest Medicaid rate for 99499 at $24,366.00. Massachusetts publishes the lowest at $5.38.
Does 99499 require prior authorization under Medicaid?
No publishing state flags 99499 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.