New Jersey Medicaid rate for CPT 99214
NJ FamilyCare pays a median of $97.55 across its rate types for CPT 99214 in its July 2026 fee-for-service schedule: the 20th-lowest of 45 state Medicaid programs, at 96% of the $101.32 median.
- Non-facility rate
- $97.55
- Rank
- 26 of 45
- vs. state median
- 96%
- vs. NJ Medicare
- 65-67%
What NJ FamilyCare publishes for 99214
20th-lowest of 45 · 96% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2026
$89.64 to $105.46 across 4 rate types
- Children Specialist or Purchase
- $105.46
- Fee Specialist or Purchase
- $105.46
- Children Non Specialist or Rental
- $89.64
- Fee Non Specialist or Rental
- $89.64
14 rate types
- Children Non Specialist or Rental and 1 more (FP + 52)
- $230.49
- Children Non Specialist or Rental and 3 more (FP + SB)
- $271.17
- Children Non Specialist or Rental and 1 more (FP)
- $230.49
- Children Non Specialist or Rental and 3 more (HF + SA)
- $125.42
- Children Non Specialist or Rental and 3 more (HF)
- $131.17
- Children Non Specialist or Rental and 3 more (SA + UC)
- $125.42
- Children Non Specialist or Rental and 3 more (SA)
- $89.64
- Children Non Specialist or Rental and 3 more (SB + 52)
- $105.46
- Children Non Specialist or Rental and 3 more (SB)
- $105.46
- Children Non Specialist or Rental (UC)
- $82.90
- Children Specialist or Purchase and 1 more (FP + 52)
- $271.17
- Children Specialist or Purchase and 1 more (FP)
- $271.17
- Children Specialist or Purchase (UC)
- $97.53
- Fee Non Specialist or Rental and 1 more (UC)
- $142.43
Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. NJMMIS Procedure Master
99214 in neighboring states
Each state's comparable non-facility rate for 99214 in its current schedule.
| State | Rate | vs. New Jersey |
|---|---|---|
| Delaware | $131.96 | +35% |
| Pennsylvania | $54.42 | -44% |
99214 in every state
Map and ranking of every state program that prices 99214.
Compare 99214 across states99214 under Medicare
Medicare's 2026 non-facility payment for 99214 in New Jersey is $144.77 to $150.65 across its 2 payment localities; NJ FamilyCare's rate is 65-67% of that. The national amount before geographic adjustment is $135.608.
See 99214 Medicare ratesSee New Jersey's full schedule: all 12,793 codes, every published period, and commercial payer rates for 99214.
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