| Code | Description | States | Median rate |
|---|---|---|---|
| 96000 | Computer motion analysis, video and 3D kinematics | 30 | $71.75 |
| 96001 | Computer motion analysis with foot pressure measurement | 30 | $81.22 |
| 96002 | Dynamic surface EMG during walking, 1-12 muscles | 32 | $16.34 |
| 96004 | Motion analysis physician review and report | 30 | $90.58 |
| 96020 | Neurofunctional testing during functional brain MRI | 30 | $146.23 |
| 96101 | Psychological testing by psychologist, per hour | 3 | $80.78 |
| 96105 | Aphasia (language loss) assessment, per hour | 43 | $78.72 |
| 96110 | Developmental screening with standardized instrument | 46 | $11.17 |
| 96112 | Developmental testing, first hour | 47 | $108.05 |
| 96113 | Developmental testing, each added 30 minutes | 46 | $47.74 |
| 96116 | Neurobehavioral status exam, first hour | 43 | $79.61 |
| 96121 | Neurobehavioral status exam, each added hour | 40 | $66.30 |
| 96125 | Standardized cognitive performance testing, per hour | 35 | $83.44 |
| 96127 | Brief emotional or behavioral assessment with standardized instrument | 43 | $4.21 |
| 96130 | Psychological test evaluation by professional, first hour | 48 | $103.38 |
| 96131 | Psychological test evaluation by professional, each added hour | 47 | $75.02 |
| 96132 | Neuropsychological testing evaluation, first hour | 46 | $110.86 |
| 96133 | Neuropsychological testing evaluation, each added hour | 45 | $83.84 |
| 96136 | Psychological or neuropsych test administration, first 30 min | 48 | $37.56 |
| 96137 | Psychological or neuropsych test administration, each added 30 min | 47 | $32.50 |
| 96138 | Psychological testing by technician, first 30 minutes | 38 | $31.35 |
| 96139 | Psychological testing by technician, each added 30 min | 37 | $30.66 |
| 96146 | Psychological test by automated instrument | 36 | $1.93 |
| 96156 | Health behavior assessment or re-assessment | 40 | $86.91 |
| 96158 | Health behavior intervention, individual, first 30 minutes | 38 | $58.99 |
| 96159 | Health behavior counseling, individual, each added 15 min | 38 | $19.99 |
| 96160 | Patient health risk assessment questionnaire | 39 | $2.94 |
| 96161 | Caregiver health risk assessment questionnaire | 39 | $3.20 |
| 96164 | Health behavior intervention, group, first 30 minutes | 35 | $9.42 |
| 96165 | Health behavior intervention, group, each added 15 min | 34 | $4.14 |
| 96167 | Health behavior intervention, family with patient, 30 min | 36 | $62.01 |
| 96168 | Health behavior intervention, family with patient, added | 35 | $22.17 |
| 96170 | Health behavior intervention, family only, first 30 min | 24 | $64.62 |
| 96171 | Health behavior intervention, family only, added 15 min | 24 | $23.47 |
| 96202 | Multi-family group behavior management training, 60 min | 12 | $18.55 |
| 96203 | Multi-family group behavior management training, added | 11 | $5.04 |
| 96360 | IV hydration, first hour | 45 | $32.86 |
| 96361 | IV hydration, each added hour | 45 | $11.26 |
| 96365 | IV drug infusion, first hour | 47 | $55.18 |
| 96366 | IV drug infusion, each added hour | 47 | $17.39 |
| 96367 | IV infusion of an added drug, first hour | 47 | $25.42 |
| 96368 | IV infusion of an added drug, concurrent | 46 | $16.70 |
| 96369 | Under-the-skin infusion, first hour, with pump setup | 47 | $118.09 |
| 96370 | Under-the-skin infusion, each added hour | 47 | $13.37 |
| 96371 | Under-the-skin infusion, added pump setup and new site | 47 | $49.35 |
| 96372 | Therapeutic or diagnostic injection, under the skin or into muscle | 48 | $13.45 |
| 96373 | Drug injection into an artery | 44 | $15.35 |
| 96374 | IV push injection, single drug | 47 | $34.94 |
| 96375 | IV push injection, each added drug | 47 | $14.99 |
| 96376 | IV push, each added same drug or substance (add-on) | 15 | $14.24 |
| 96377 | On-body injector application for timed drug delivery | 33 | $15.44 |
| 96379 | Unlisted therapeutic injection or infusion | 12 | $32.28 |
| 96380 | RSV antibody injection (nirsevimab) with counseling | 38 | $20.42 |
| 96401 | Chemotherapy injection, under the skin or into muscle, non-hormonal | 47 | $55.85 |
| 96402 | Hormonal anti-cancer injection, under skin or into muscle | 47 | $30.74 |
| 96405 | Chemotherapy injected into lesions, up to 7 | 47 | $67.28 |
| 96406 | Chemotherapy injected into lesions, more than 7 | 47 | $102.71 |
| 96409 | Chemotherapy IV push, single drug | 48 | $87.84 |
| 96411 | Chemotherapy IV push, each added drug | 47 | $49.02 |
| 96413 | Chemotherapy IV infusion, first hour, single drug | 48 | $113.46 |
| 96415 | Chemotherapy IV infusion, each added hour | 48 | $25.13 |
| 96416 | Start of a prolonged chemotherapy infusion by pump | 48 | $119.65 |
| 96417 | Chemotherapy IV infusion, added drug, up to 1 hour | 47 | $56.42 |
| 96420 | Chemotherapy into an artery, push | 48 | $82.07 |
| 96422 | Chemotherapy into an artery, infusion up to 1 hour | 48 | $120.00 |
| 96423 | Chemotherapy into an artery, each added hour | 48 | $59.25 |
| 96425 | Start of a prolonged artery chemotherapy infusion by pump | 48 | $135.59 |
| 96446 | Chemotherapy into the abdominal cavity by port or catheter | 46 | $129.42 |
| 96521 | Refill and maintenance of a portable drug pump | 48 | $112.97 |
| 96522 | Refill and maintenance of an implanted drug pump | 48 | $96.84 |
| 96523 | Flushing an implanted port | 43 | $21.85 |
| 96549 | Unlisted chemotherapy procedure | 12 | $36.58 |
| 96567 | Photodynamic therapy, external, skin lesions | 35 | $102.55 |
| 96570 | Endoscopic photodynamic therapy, first 30 min (add-on) | 41 | $49.15 |
| 96571 | Endoscopic photodynamic therapy, each added 15 min | 40 | $24.04 |
| 96573 | Photodynamic therapy for precancerous skin, per day | 40 | $171.61 |
| 96574 | Scraping plus photodynamic therapy for precancerous skin | 38 | $211.19 |
| 96900 | Ultraviolet light therapy | 45 | $18.34 |
| 96902 | Microscopic hair examination | 13 | $18.07 |
| 96904 | Whole body skin photography | 21 | $58.61 |
| 96910 | Light therapy with tar or petrolatum (Goeckerman) | 46 | $76.39 |
| 96912 | PUVA light therapy | 45 | $75.42 |
| 96913 | Extended light therapy (Goeckerman or PUVA), 4 to 8 hours | 41 | $114.03 |
| 96920 | Laser treatment for psoriasis, under 250 sq cm | 43 | $118.33 |
| 96921 | Laser treatment for psoriasis, 250 to 500 sq cm | 43 | $124.46 |
| 96922 | Laser treatment for psoriasis, over 500 sq cm | 43 | $154.86 |
| 96931 | Confocal skin microscopy, image and report, first lesion | 20 | $134.62 |
| 96932 | Confocal skin microscopy, image only, first lesion | 20 | $95.75 |
| 96933 | Confocal skin microscopy, reading only, first lesion | 20 | $35.10 |
| 96934 | Confocal skin microscopy, image and report, added lesion | 20 | $89.50 |
| 96935 | Confocal skin microscopy, image only, added lesion | 20 | $57.81 |
| 96936 | Confocal skin microscopy, reading only, added lesion | 21 | $32.19 |
| 96999 | Unlisted dermatology service | 12 | $98.46 |
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. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.