New York Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in New York, based on 2024 claims data.
2024 Overview
Procedures
4.1K
Total Claims
258.0M
Total Paid
$25.2B
Popular Services
Procedures
Showing 51–100 of 4,071 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99285 | Emergency dept visit hi mdm | 645,114 | $146.97 | $0.00 | $760.13 |
| 84443 | Assay thyroid stim hormone | 638,952 | $7.92 | $-4.75 | $68.92 |
| D1208 | Topical app fluorid ex vrnsh | 631,056 | $14.57 | $0.00 | $57.29 |
| H2036 | A/d tx program, per diem | 623,288 | $197.80 | $19.77 | $4,773.33 |
| A0429 | Bls-emergency | 616,308 | $204.24 | $0.00 | $593.98 |
| 87880 | Strep a assay w/optic | 598,518 | $6.18 | $0.00 | $165.61 |
| 99051 | Med serv eve/wkend/holiday | 579,239 | $9.24 | $0.00 | $93.28 |
| 92508 | Tx sp lang voice comm group | 576,827 | $25.49 | $0.00 | $124.23 |
| T4535 | Disposable liner/shield/pad | 573,430 | $27.85 | $11.26 | $118.03 |
| 71046 | X-ray exam chest 2 views | 561,825 | $11.18 | $0.00 | $126.34 |
| S5170 | Homedelivered prepared meal | 561,574 | $22.08 | $0.00 | $434.09 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 559,298 | $31.02 | $0.00 | $368.33 |
| D1206 | Topical fluoride varnish | 555,435 | $26.71 | $0.00 | $159.54 |
| 99309 | Sbsq nf care moderate mdm 30 | 551,176 | $13.60 | $0.00 | $174.61 |
| 80048 | Basic metabolic pnl total ca | 542,540 | $14.59 | $0.00 | $372.23 |
| 1159F | Med list docd in rcrd | 529,957 | $0.39 | $0.00 | $371.74 |
| 93000 | Electrocardiogram complete | 515,516 | $9.04 | $0.00 | $109.47 |
| 90853 | Group psychotherapy | 510,703 | $60.61 | $0.00 | $296.49 |
| H2014 | Skills train and dev, 15 min | 508,361 | $226.01 | $44.44 | $649.71 |
| V2020 | Vision svcs frames purchases | 507,984 | $20.27 | $0.00 | $243.76 |
| 96127 | Brief emotional/behav assmt | 504,757 | $4.16 | $0.00 | $1,237.79 |
| 99392 | Prev visit est age 1-4 | 487,653 | $70.68 | $0.00 | $416.30 |
| H0041 | Fos c chld non-ther per diem | 487,452 | $41.63 | $9.94 | $407.51 |
| 87491 | Chlmyd trach dna amp probe | 479,430 | $23.49 | $0.00 | $306.87 |
| S5130 | Homaker service nos per 15m | 474,454 | $49.27 | $0.00 | $162.93 |
| 82306 | Vitamin d 25 hydroxy | 467,097 | $19.30 | $0.00 | $142.37 |
| 99393 | Prev visit est age 5-11 | 462,004 | $68.49 | $0.00 | $446.62 |
| 1160F | Rvw meds by rx/dr in rcrd | 460,668 | $0.05 | $0.00 | $179.98 |
| A4927 | Non-sterile gloves | 459,653 | $4.36 | $0.00 | $15.30 |
| V2100 | Lens spher single plano 4.00 | 459,509 | $23.71 | $0.00 | $156.64 |
| 85027 | Complete cbc automated | 457,961 | $3.44 | $-1.82 | $69.62 |
| D0272 | Dental bitewings two images | 455,227 | $16.00 | $0.00 | $110.53 |
| 99204 | Office o/p new mod 45 min | 455,073 | $133.11 | $0.00 | $414.81 |
| 92014 | Compre oph exam est pt 1/> | 448,083 | $69.28 | $0.00 | $250.69 |
| S9083 | Urgent care center global | 442,638 | $118.04 | $0.00 | $320.25 |
| 87591 | N.gonorrhoeae dna amp prob | 433,711 | $19.36 | $0.00 | $91.29 |
| 90471 | Immunization admin | 427,731 | $11.81 | $0.00 | $632.72 |
| G8510 | Scr dep neg, no plan reqd | 426,707 | $5.02 | $0.00 | $89.73 |
| 96372 | Ther/proph/diag inj sc/im | 422,115 | $18.51 | $0.00 | $645.14 |
| G2067 | Med assist tx meth wk | 416,842 | $219.96 | $0.00 | $295.29 |
| D1351 | Dental sealant per tooth | 411,132 | $35.47 | $0.00 | $122.21 |
| D2392 | Post 2 srfc resinbased cmpst | 405,785 | $72.93 | $0.00 | $263.42 |
| 99391 | Per pm reeval est pat infant | 392,989 | $73.90 | $0.00 | $479.68 |
| H2015 | Comp comm supp svc, 15 min | 390,711 | $526.77 | $81.04 | $789.42 |
| 93005 | Electrocardiogram tracing | 388,171 | $3.21 | $0.00 | $71.66 |
| A0110 | Nonemergency transport bus | 384,618 | $24.07 | $0.00 | $427.69 |
| 81003 | Urinalysis auto w/o scope | 378,371 | $1.90 | $0.00 | $338.35 |
| 81025 | Urine pregnancy test | 373,133 | $9.03 | $0.00 | $963.93 |
| 80307 | Drug test prsmv chem anlyzr | 372,576 | $26.70 | $0.00 | $264.24 |
| D0150 | Comprehensve oral evaluation | 363,271 | $27.94 | $0.00 | $210.81 |