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 101–150 of 3,387 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 86704 | Hep b core antibody total | 212,637 | $5.26 | $0.00 | $25.88 |
| D2392 | Post 2 srfc resinbased cmpst | 212,060 | $54.82 | $0.00 | $174.25 |
| S5161 | Emer rspns sys serv permonth | 209,057 | $25.53 | $13.90 | $150.31 |
| 84153 | Assay of psa total | 206,676 | $7.03 | $0.00 | $214.32 |
| 1159F | Med list docd in rcrd | 201,763 | $0.00 | $0.00 | $3.26 |
| 1160F | Rvw meds by rx/dr in rcrd | 200,389 | $0.00 | $0.00 | $3.26 |
| 85652 | Rbc sed rate automated | 200,374 | $1.02 | $0.00 | $17.69 |
| 84436 | Assay of total thyroxine | 195,678 | $2.17 | $0.00 | $12.06 |
| 87635 | Sars-cov-2 covid-19 amp prb | 194,708 | $24.57 | $0.00 | $54.08 |
| V2100 | Lens spher single plano 4.00 | 194,676 | $2.74 | $0.00 | $104.32 |
| 87077 | Culture aerobic identify | 193,382 | $4.01 | $0.00 | $26.04 |
| D1208 | Topical app fluorid ex vrnsh | 189,384 | $16.51 | $0.00 | $34.40 |
| 80076 | Hepatic function panel | 188,647 | $2.27 | $0.00 | $18.66 |
| 87186 | Sc std microdil/agar dil | 188,621 | $3.92 | $0.00 | $90.41 |
| 85730 | Thromboplastin time partial | 187,602 | $1.95 | $0.00 | $12.99 |
| 83690 | Assay of lipase | 185,694 | $2.23 | $0.00 | $14.35 |
| 87804 | Influenza assay w/optic | 185,680 | $9.28 | $0.00 | $55.00 |
| 92015 | Determine refractive state | 185,636 | $8.73 | $0.00 | $125.00 |
| 81025 | Urine pregnancy test | 182,120 | $4.53 | $0.00 | $54.25 |
| 92507 | Tx sp lang voice comm indiv | 182,073 | $84.33 | $0.00 | $455.12 |
| 96374 | Ther/proph/diag inj iv push | 179,392 | $34.74 | $0.00 | $257.18 |
| D0603 | Caries risk assess high risk | 173,777 | $6.44 | $0.00 | $11.67 |
| 70450 | Ct head/brain w/o dye | 172,789 | $58.78 | $0.17 | $411.75 |
| G2211 | Complex e/m visit add on | 170,357 | $2.49 | $0.00 | $42.13 |
| T2023 | Targeted case mgmt per month | 169,214 | $963.80 | $396.97 | $1,032.09 |
| 82962 | Glucose blood test | 169,002 | $1.52 | $0.00 | $68.91 |
| 88305 | Tissue exam by pathologist | 167,090 | $57.24 | $0.00 | $463.13 |
| V2784 | Lens polycarb or equal | 166,612 | $6.77 | $0.00 | $93.33 |
| D0272 | Dental bitewings two images | 165,695 | $10.22 | $0.00 | $40.00 |
| J1885 | Ketorolac tromethamine inj | 165,460 | $1.04 | $0.00 | $23.91 |
| 90471 | Immunization admin | 165,090 | $13.18 | $0.00 | $66.95 |
| G0156 | Hhcp-svs of aide,ea 15 min | 161,774 | $0.01 | $0.00 | $10.58 |
| 99204 | Office o/p new mod 45 min | 161,674 | $112.41 | $0.00 | $415.87 |
| H0015 | Alcohol and/or drug services | 160,851 | $119.41 | $0.00 | $425.00 |
| 99173 | Visual acuity screen | 159,975 | $1.41 | $0.00 | $23.54 |
| 84484 | Assay of troponin quant | 158,021 | $3.82 | $0.00 | $20.67 |
| D0150 | Comprehensve oral evaluation | 157,242 | $22.06 | $0.00 | $170.58 |
| 82248 | Bilirubin direct | 152,950 | $2.63 | $0.00 | $62.97 |
| 87481 | Candida dna amp probe | 152,924 | $20.80 | $0.00 | $82.85 |
| D0140 | Limit oral eval problm focus | 150,984 | $26.36 | $0.00 | $78.29 |
| 96375 | Tx/pro/dx inj new drug addon | 150,789 | $55.36 | $0.95 | $212.17 |
| J1644 | Inj heparin sodium per 1000u | 149,809 | $0.16 | $0.00 | $9.18 |
| 86780 | Treponema pallidum | 149,597 | $6.76 | $0.00 | $17.11 |
| 93000 | Electrocardiogram complete | 149,433 | $12.36 | $0.00 | $62.38 |
| A4554 | Disposable underpads | 147,672 | $32.78 | $2.55 | $80.84 |
| J2405 | Ondansetron hcl injection | 145,194 | $2.04 | $0.00 | $104.42 |
| A0428 | Bls | 144,511 | $29.54 | $0.00 | $909.01 |
| 90833 | Psytx w pt w e/m 30 min | 144,207 | $61.86 | $0.00 | $84.26 |
| 86901 | Blood typing serologic rh(d) | 143,379 | $2.17 | $0.00 | $46.06 |
| T1002 | Rn services up to 15 minutes | 141,764 | $458.48 | $190.35 | $973.36 |