New Mexico Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in New Mexico, based on 2024 claims data.
2024 Overview
Procedures
2.1K
Total Claims
24.0M
Total Paid
$2.2B
Popular Services
Procedures
Showing 1–50 of 2,124 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| T1019 | Personal care ser per 15 min | 2,201,479 | $86.97 | $59.26 | $126.43 |
| H0020 | Alcohol and/or drug services | 1,095,853 | $25.15 | $0.00 | $308.26 |
| 99509 | Home visit day life activity | 758,784 | $319.31 | $37.03 | $555.29 |
| 99214 | Office o/p est mod 30 min | 739,988 | $123.09 | $0.00 | $699.17 |
| 99213 | Office o/p est low 20 min | 716,098 | $109.70 | $0.00 | $719.00 |
| 90837 | Psytx w pt 60 minutes | 418,117 | $147.90 | $0.00 | $719.00 |
| S5125 | Attendant care service /15m | 338,998 | $130.17 | $0.00 | $1,851.17 |
| 92508 | Tx sp lang voice comm group | 333,601 | $19.70 | $0.00 | $79.39 |
| 36415 | Coll venous bld venipuncture | 325,770 | $7.77 | $0.00 | $80.83 |
| 85025 | Complete cbc w/auto diff wbc | 296,057 | $9.01 | $0.00 | $67.26 |
| 97110 | Therapeutic exercises | 295,615 | $47.99 | $0.00 | $190.17 |
| T2016 | Habil res waiver per diem | 281,612 | $363.02 | $0.00 | $544.52 |
| T1027 | Family training & counseling | 266,690 | $123.60 | $0.00 | $147.15 |
| 99284 | Emergency dept visit mod mdm | 264,535 | $181.55 | $0.00 | $695.66 |
| A0100 | Nonemergency transport taxi | 258,229 | $192.06 | $26.70 | $405.99 |
| 80053 | Comprehen metabolic panel | 248,507 | $14.40 | $0.00 | $63.96 |
| G0463 | Hospital outpt clinic visit | 232,313 | $83.85 | $0.00 | $751.65 |
| D1120 | Dental prophylaxis child | 227,420 | $33.41 | $0.00 | $307.42 |
| 97530 | Therapeutic activities | 221,033 | $81.99 | $2.88 | $221.02 |
| D0220 | Intraoral periapical first | 216,643 | $12.30 | $0.00 | $328.97 |
| H2015 | Comp comm supp svc, 15 min | 210,393 | $187.19 | $0.00 | $481.99 |
| T2033 | Res, nos waiver per diem | 197,750 | $239.08 | $0.00 | $5,532.23 |
| D0230 | Intraoral periapical ea add | 197,485 | $11.18 | $0.00 | $267.03 |
| D1208 | Topical app fluorid ex vrnsh | 187,429 | $18.88 | $0.00 | $719.00 |
| H0015 | Alcohol and/or drug services | 174,168 | $240.54 | $68.25 | $847.25 |
| 99283 | Emergency dept visit low mdm | 173,490 | $166.86 | $0.00 | $496.93 |
| 3008F | Body mass index docd | 168,225 | $0.00 | $0.00 | $11.21 |
| 99285 | Emergency dept visit hi mdm | 165,867 | $243.15 | $15.24 | $852.54 |
| 90999 | Unlisted dialysis procedure | 152,913 | $86.18 | $12.19 | $640.73 |
| D0150 | Comprehensve oral evaluation | 147,518 | $35.65 | $0.00 | $812.78 |
| D0120 | Periodic oral evaluation | 146,144 | $23.53 | $0.00 | $67.20 |
| 92507 | Tx sp lang voice comm indiv | 138,956 | $71.02 | $0.00 | $179.85 |
| 80307 | Drug test prsmv chem anlyzr | 138,425 | $66.39 | $3.40 | $162.68 |
| G9006 | Mccd, home monitoring | 124,760 | $201.99 | $10.66 | $262.50 |
| 71045 | X-ray exam chest 1 view | 123,286 | $29.94 | $0.00 | $150.03 |
| D0274 | Bitewings four images | 119,737 | $29.59 | $0.00 | $39.30 |
| T2001 | N-et; patient attend/escort | 118,355 | $81.16 | $38.08 | $440.60 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 115,825 | $87.14 | $5.38 | $153.16 |
| 83036 | Hemoglobin glycosylated a1c | 107,605 | $10.25 | $0.00 | $64.10 |
| 97112 | Neuromuscular reeducation | 106,829 | $48.37 | $4.50 | $158.67 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 104,024 | $76.12 | $14.10 | $239.21 |
| 3074F | Syst bp lt 130 mm hg | 101,044 | $0.01 | $0.00 | $19.37 |
| 90834 | Psytx w pt 45 minutes | 98,384 | $91.68 | $0.00 | $719.00 |
| H2021 | Com wrap-around sv, 15 min | 97,826 | $349.41 | $0.00 | $5,966.64 |
| 90853 | Group psychotherapy | 96,873 | $47.53 | $0.00 | $347.72 |
| 84443 | Assay thyroid stim hormone | 95,368 | $17.48 | $0.00 | $44.46 |
| 97140 | Manual therapy 1/> regions | 95,198 | $36.76 | $3.90 | $168.67 |
| 80061 | Lipid panel | 94,680 | $14.17 | $0.00 | $28.87 |
| 93010 | Electrocardiogram report | 89,362 | $7.58 | $0.00 | $11.12 |
| 90832 | Psytx w pt 30 minutes | 88,134 | $66.90 | $0.00 | $255.52 |