New Jersey Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in New Jersey, based on 2024 claims data.
2024 Overview
Procedures
3.4K
Total Claims
112.8M
Total Paid
$7.4B
Popular Services
Procedures
Showing 51–100 of 3,387 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 83550 | Iron binding test | 436,458 | $2.74 | $0.00 | $10.13 |
| 81003 | Urinalysis auto w/o scope | 435,925 | $0.96 | $0.00 | $33.29 |
| 85027 | Complete cbc automated | 424,997 | $2.43 | $0.00 | $13.56 |
| D1120 | Dental prophylaxis child | 424,981 | $34.48 | $0.00 | $978.57 |
| 82043 | Ur albumin quantitative | 418,639 | $2.28 | $0.00 | $14.72 |
| 90853 | Group psychotherapy | 418,342 | $49.45 | $0.00 | $381.72 |
| 3008F | Body mass index docd | 410,330 | $0.54 | $0.00 | $30.00 |
| G2067 | Med assist tx meth wk | 407,176 | $138.04 | $0.00 | $153.12 |
| 97112 | Neuromuscular reeducation | 404,351 | $12.06 | $0.00 | $94.85 |
| 71045 | X-ray exam chest 1 view | 403,132 | $9.30 | $0.00 | $182.45 |
| 3074F | Syst bp lt 130 mm hg | 401,794 | $0.03 | $0.00 | $7.50 |
| 83735 | Assay of magnesium | 400,011 | $1.90 | $0.00 | $13.52 |
| 82746 | Assay of folic acid serum | 393,754 | $5.74 | $0.00 | $26.63 |
| 3078F | Diast bp <80 mm hg | 374,962 | $0.02 | $0.00 | $8.33 |
| 90999 | Unlisted dialysis procedure | 372,077 | $56.54 | $0.93 | $204.25 |
| D1206 | Topical fluoride varnish | 367,518 | $22.15 | $0.00 | $134.63 |
| 93010 | Electrocardiogram report | 356,789 | $5.27 | $0.00 | $19.20 |
| 90460 | Im admin 1st/only component | 335,614 | $20.80 | $0.00 | $81.59 |
| 87070 | Culture othr specimn aerobic | 330,499 | $4.39 | $0.00 | $108.51 |
| D1110 | Dental prophylaxis adult | 325,966 | $31.83 | $0.00 | $86.25 |
| 99212 | Office o/p est sf 10 min | 320,003 | $42.40 | $0.00 | $185.97 |
| 86480 | Tb test cell immun measure | 312,504 | $30.20 | $4.00 | $69.43 |
| 87880 | Strep a assay w/optic | 308,529 | $7.44 | $0.00 | $51.26 |
| A4657 | Syringe w/wo needle | 307,333 | $0.51 | $0.00 | $151.36 |
| 99309 | Sbsq nf care moderate mdm 30 | 300,310 | $15.47 | $0.00 | $165.34 |
| 88175 | Cytopath c/v auto fluid redo | 295,363 | $12.35 | $0.00 | $32.49 |
| T1003 | Lpn/lvn services up to 15min | 289,543 | $395.15 | $180.42 | $549.87 |
| 83655 | Assay of lead | 289,360 | $5.68 | $0.00 | $20.54 |
| G0480 | Drug test def 1-7 classes | 283,513 | $47.02 | $0.00 | $137.91 |
| 84550 | Assay of blood/uric acid | 271,697 | $1.93 | $0.00 | $13.11 |
| 85610 | Prothrombin time | 269,948 | $1.55 | $0.00 | $58.90 |
| 99308 | Sbsq nf care low mdm 20 | 269,397 | $10.90 | $0.00 | $102.74 |
| 86706 | Hep b surface antibody | 265,324 | $4.85 | $0.00 | $16.09 |
| 93005 | Electrocardiogram tracing | 260,997 | $22.68 | $0.11 | $90.01 |
| T2024 | Serv asmnt/care plan waiver | 260,055 | $371.16 | $26.53 | $376.53 |
| 84100 | Assay of phosphorus | 258,884 | $1.38 | $0.00 | $85.15 |
| 71046 | X-ray exam chest 2 views | 255,721 | $20.59 | $0.00 | $224.13 |
| 87624 | Hpv hi-risk typ pooled rslt | 253,943 | $15.61 | $0.00 | $43.89 |
| 87088 | Urine bacteria culture | 248,913 | $3.79 | $0.00 | $14.23 |
| 99233 | Sbsq hosp ip/obs high 50 | 245,368 | $45.17 | $0.00 | $221.08 |
| A0429 | Bls-emergency | 240,953 | $137.55 | $24.05 | $432.01 |
| 90832 | Psytx w pt 30 minutes | 239,794 | $56.85 | $0.00 | $275.98 |
| D0274 | Bitewings four images | 233,051 | $10.60 | $0.00 | $39.60 |
| 99203 | Office o/p new low 30 min | 231,680 | $83.62 | $0.00 | $305.23 |
| 87801 | Detect agnt mult dna ampli | 230,438 | $26.52 | $0.00 | $58.97 |
| V2020 | Vision svcs frames purchases | 229,377 | $4.13 | $0.00 | $85.94 |
| 96372 | Ther/proph/diag inj sc/im | 224,180 | $18.38 | $0.00 | $118.94 |
| 86140 | C-reactive protein | 220,510 | $1.94 | $0.00 | $11.73 |
| 92014 | Compre oph exam est pt 1/> | 218,896 | $26.15 | $0.00 | $235.94 |
| 87081 | Culture screen only | 213,487 | $2.61 | $0.00 | $98.57 |