Fee-for-service ratesAs of July 2026
New Jersey Medicaid Fee Schedule (NJ FamilyCare)
NJ FamilyCare pays $63.03 to $74.15 for an established-patient office visit (99213), depending on the rate type. Its median across rate types, $68.59, is the 20th-lowest of 45 Medicaid programs.
- Schedule as of
- July 2026
- Codes priced
- 12,793
- 99213 vs. median
- 97% of median
Current NJ FamilyCare rates for common codes
Each amount is the unmodified non-facility rate in the July 2026 schedule. Where a code appears under more than one rate type, it is the state's ordinary statewide rate when its rules name one, and otherwise the median across rate types. Modifier-specific and facility-only rows are listed separately under the service.
| Code | Service | Non-facility rate |
|---|---|---|
| 99213 | Office visit, established patient (low complexity)$63.03 to $74.15 across 4 rate types
20 rate types
| $68.59Median across rate typesIn effect since Jul 1, 202620th-lowest of 45 · 97% of median |
| 99214 | Office visit, established patient (moderate complexity)$89.64 to $105.46 across 4 rate types
14 rate types
| $97.55Median across rate typesIn effect since Jul 1, 202620th-lowest of 45 · 96% of median |
| 99203 | Office visit, new patient (low complexity)$77.77 to $91.50 across 4 rate types
17 rate types
| $84.64Median across rate typesIn effect since Jul 1, 202620th-lowest of 45 · 95% of median |
| 99204 | Office visit, new patient (moderate complexity)$116.96 to $137.60 across 4 rate types
14 rate types
| $127.28Median across rate typesIn effect since Jul 1, 202619th-lowest of 45 · 95% of median |
| 99285 | Emergency department visit, high severity with threat to function$109.68 to $129.03 across 4 rate types
| $119.36Median across rate typesIn effect since Jul 1, 202610th-lowest of 42 · 86% of median |
Dot: New Jersey. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.
New Jersey's median is 20th-lowest of 45 for 99213. See where all 12,793 NJ FamilyCare codes rank.
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Compare any other code across state programs. The free view shows a few states per code; New Jersey's full schedule is in the complete dataset.
Neighboring and high-enrollment Medicaid fee schedules
States bordering New Jersey first, then the largest programs.
DelawareDelaware Medical Assistance Program - January 2026New YorkNY Medicaid - October 2026PennsylvaniaPennsylvania Medical Assistance - October 2026CaliforniaMedi-Cal - September 2026TexasTexas Medicaid - September 2026FloridaFlorida Medicaid - July 2026IllinoisIllinois Medicaid - July 2026North CarolinaNC Medicaid - January 2026OhioOhio Medicaid - January 2026MichiganMichigan Medicaid - September 2026