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 101–150 of 4,071 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 88305 | Tissue exam by pathologist | 362,917 | $70.40 | $0.00 | $609.12 |
| H0005 | Alcohol and/or drug services | 356,257 | $68.90 | $3.90 | $683.05 |
| 99401 | Prev med cnsl indiv apprx 15 | 355,579 | $18.91 | $0.00 | $314.53 |
| G0463 | Hospital outpt clinic visit | 352,724 | $98.02 | $0.00 | $457.33 |
| 84439 | Assay of free thyroxine | 350,450 | $6.27 | $-1.66 | $119.83 |
| 83735 | Assay of magnesium | 339,435 | $2.45 | $0.00 | $24.88 |
| 87086 | Urine culture/colony count | 337,549 | $4.40 | $-0.83 | $60.03 |
| 99173 | Visual acuity screen | 335,169 | $1.32 | $0.00 | $81.71 |
| V2784 | Lens polycarb or equal | 334,613 | $3.87 | $0.00 | $65.57 |
| G8427 | Docrev cur meds by elig clin | 322,615 | $0.04 | $0.00 | $21.62 |
| 92551 | Pure tone hearing test air | 322,458 | $14.29 | $0.00 | $659.08 |
| T4523 | Adult size brief/diaper lg | 320,076 | $74.83 | $36.07 | $263.54 |
| H0004 | Alcohol and/or drug services | 319,565 | $125.53 | $4.05 | $331.84 |
| 99215 | Office o/p est hi 40 min | 316,430 | $132.25 | $0.00 | $572.07 |
| G2211 | Complex e/m visit add on | 315,824 | $6.06 | $0.00 | $58.19 |
| 82607 | Vitamin b-12 | 315,191 | $9.26 | $0.00 | $110.85 |
| 99394 | Prev visit est age 12-17 | 315,020 | $69.14 | $0.00 | $719.00 |
| T4522 | Adult size brief/diaper med | 315,015 | $52.41 | $23.94 | $177.79 |
| G0156 | Hhcp-svs of aide,ea 15 min | 312,631 | $256.66 | $0.00 | $374.85 |
| T1022 | Contracted services per day | 309,691 | $171.99 | $0.00 | $600.41 |
| 93306 | Tte w/doppler complete | 307,872 | $103.50 | $0.00 | $1,107.73 |
| S5145 | Child fostercare th per diem | 306,500 | $188.61 | $25.56 | $2,747.84 |
| H2016 | Comp comm supp svc, per diem | 306,276 | $302.61 | $281.09 | $947.11 |
| D0330 | Panoramic image | 298,922 | $31.67 | $0.00 | $139.76 |
| 99000 | Specimen handling office-lab | 298,125 | $5.67 | $0.00 | $294.31 |
| A0090 | Interest escort in non er | 297,123 | $137.16 | $122.94 | $225.98 |
| 94760 | N-invas ear/pls oximetry 1 | 291,685 | $3.41 | $0.00 | $89.08 |
| 92250 | Fundus photography w/i&r | 291,563 | $34.41 | $0.00 | $109.87 |
| H2017 | Psysoc rehab svc, per 15 min | 289,495 | $108.02 | $20.51 | $459.09 |
| 92012 | Intrm oph exam est patient | 289,251 | $57.39 | $0.00 | $248.20 |
| T4537 | Reusable underpad bed size | 288,163 | $23.79 | $11.53 | $56.92 |
| 81002 | Urinalysis nonauto w/o scope | 287,396 | $4.81 | $-0.38 | $158.29 |
| 85610 | Prothrombin time | 286,880 | $3.29 | $0.00 | $86.26 |
| 92004 | Compre oph exam new pt 1/> | 281,973 | $84.39 | $0.00 | $225.00 |
| 87635 | Sars-cov-2 covid-19 amp prb | 280,511 | $25.68 | $0.00 | $359.50 |
| 70450 | Ct head/brain w/o dye | 277,897 | $106.05 | $0.00 | $602.21 |
| T2022 | Case management, per month | 277,103 | $636.50 | $0.00 | $885.95 |
| H0036 | Comm psy face-face per 15min | 276,166 | $125.12 | $23.35 | $621.42 |
| 96374 | Ther/proph/diag inj iv push | 272,269 | $7.91 | $0.00 | $348.74 |
| A4657 | Syringe w/wo needle | 268,569 | $14.10 | $0.00 | $99.73 |
| 87804 | Influenza assay w/optic | 267,042 | $10.29 | $0.00 | $130.04 |
| G8754 | Dias bp less 90 | 262,776 | $0.01 | $0.00 | $3.28 |
| 1036F | Tobacco non-user | 262,333 | $0.08 | $0.00 | $65.37 |
| 87651 | Strep a dna amp probe | 260,249 | $27.41 | $0.00 | $410.67 |
| 77067 | Scr mammo bi incl cad | 257,439 | $85.17 | $0.00 | $280.27 |
| D0210 | Intraor comprehensive series | 255,341 | $23.88 | $0.00 | $202.02 |
| 82728 | Assay of ferritin | 254,865 | $9.12 | $0.00 | $72.42 |
| 87070 | Culture othr specimn aerobic | 253,665 | $4.67 | $0.00 | $252.57 |
| 99211 | Off/op est may x req phy/qhp | 253,486 | $50.14 | $0.00 | $304.19 |
| 86803 | Hepatitis c ab test | 252,666 | $7.57 | $-0.19 | $130.49 |