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 51–100 of 2,124 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 3078F | Diast bp <80 mm hg | 87,804 | $0.00 | $0.00 | $0.20 |
| 90460 | Im admin 1st/only component | 87,774 | $31.35 | $0.00 | $138.17 |
| 87880 | Strep a assay w/optic | 87,739 | $17.69 | $0.00 | $43.76 |
| 81001 | Urinalysis auto w/scope | 87,460 | $5.23 | $0.00 | $26.38 |
| 80048 | Basic metabolic pnl total ca | 83,682 | $10.82 | $3.20 | $51.82 |
| D0272 | Dental bitewings two images | 83,454 | $22.88 | $0.00 | $274.14 |
| 93005 | Electrocardiogram tracing | 78,979 | $71.70 | $6.29 | $225.59 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, | 77,904 | $17.95 | $2.09 | $29.96 |
| A4657 | Syringe w/wo needle | 77,556 | $0.06 | $0.00 | $0.41 |
| D1206 | Topical fluoride varnish | 76,334 | $20.68 | $0.00 | $278.29 |
| 92015 | Determine refractive state | 73,159 | $8.61 | $0.00 | $51.62 |
| Q3014 | Telehealth facility fee | 72,793 | $134.06 | $0.00 | $719.00 |
| 96374 | Ther/proph/diag inj iv push | 71,270 | $43.76 | $1.15 | $138.58 |
| 97150 | Group therapeutic procedures | 70,714 | $17.11 | $0.00 | $29.89 |
| 87086 | Urine culture/colony count | 70,451 | $9.88 | $0.00 | $31.60 |
| T2021 | Day habil waiver per 15 min | 69,450 | $131.01 | $0.00 | $1,581.81 |
| 96372 | Ther/proph/diag inj sc/im | 66,227 | $28.81 | $0.00 | $151.54 |
| 81003 | Urinalysis auto w/o scope | 65,705 | $2.64 | $0.00 | $21.33 |
| D2392 | Post 2 srfc resinbased cmpst | 65,428 | $75.10 | $0.00 | $123.11 |
| 74177 | Ct abd & pelvis w/contrast | 64,688 | $238.76 | $24.95 | $1,179.79 |
| 71046 | X-ray exam chest 2 views | 63,795 | $37.56 | $6.06 | $164.80 |
| J2405 | Ondansetron hcl injection | 63,736 | $1.68 | $0.00 | $14.36 |
| T1015 | Clinic service | 61,885 | $199.10 | $0.00 | $625.80 |
| 85027 | Complete cbc automated | 61,662 | $7.01 | $0.00 | $16.47 |
| 70450 | Ct head/brain w/o dye | 60,850 | $128.33 | $24.36 | $614.71 |
| J1885 | Ketorolac tromethamine inj | 59,568 | $2.21 | $0.00 | $27.30 |
| 96375 | Tx/pro/dx inj new drug addon | 59,357 | $61.77 | $2.15 | $176.06 |
| 99215 | Office o/p est hi 40 min | 59,011 | $156.93 | $0.00 | $244.06 |
| 99204 | Office o/p new mod 45 min | 58,883 | $159.27 | $0.00 | $273.27 |
| 1036F | Tobacco non-user | 58,114 | $0.00 | $0.00 | $0.25 |
| 83690 | Assay of lipase | 57,990 | $9.48 | $1.91 | $30.53 |
| 90833 | Psytx w pt w e/m 30 min | 57,213 | $68.80 | $0.00 | $141.34 |
| A0425 | Ground mileage | 56,641 | $87.85 | $1.35 | $950.15 |
| 84439 | Assay of free thyroxine | 56,622 | $10.62 | $0.00 | $35.51 |
| 87804 | Influenza assay w/optic | 56,427 | $21.38 | $0.00 | $81.67 |
| J3490 | Drugs unclassified injection | 56,077 | $14.24 | $0.00 | $1,696.33 |
| T2023 | Targeted case mgmt per month | 56,033 | $232.03 | $0.00 | $571.93 |
| 99203 | Office o/p new low 30 min | 55,742 | $116.69 | $0.00 | $228.59 |
| D1351 | Dental sealant per tooth | 55,675 | $25.66 | $0.00 | $458.22 |
| 99233 | Sbsq hosp ip/obs high 50 | 54,640 | $110.37 | $27.16 | $311.91 |
| 82306 | Vitamin d 25 hydroxy | 53,901 | $30.90 | $0.00 | $50.10 |
| D9230 | Analgesia | 53,565 | $28.27 | $0.00 | $29.93 |
| 99212 | Office o/p est sf 10 min | 53,224 | $216.83 | $0.00 | $719.57 |
| 90461 | Im admin each addl component | 51,792 | $44.28 | $0.00 | $118.47 |
| A0427 | Als1-emergency | 51,101 | $428.60 | $93.23 | $637.31 |
| 87651 | Strep a dna amp probe | 51,022 | $39.95 | $7.50 | $82.45 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 50,601 | $10.46 | $0.00 | $85.76 |
| H0038 | Self-help/peer svc per 15min | 50,559 | $71.40 | $1.95 | $255.43 |
| H0039 | Asser com tx face-face/15min | 49,985 | $230.98 | $105.52 | $359.23 |
| 87636 | Sarscov2 & inf a&b amp prb | 49,811 | $118.63 | $0.00 | $238.56 |