New Mexico Medicaid rate for CPT 99204
New Mexico Medicaid pays $238.74 for CPT 99204 in its March 2026 fee-for-service schedule: the 3rd-highest of 45 state Medicaid programs, at 178% of the $134.20 median.
- Non-facility rate
- $238.74
- Rank
- 3 of 45
- vs. state median
- 178%
- vs. NM Medicare
- 139%
What New Mexico Medicaid publishes for 99204
3rd-highest of 45 · 178% of median
- Schedule
- March 2026
- In effect since
- Jan 1, 2025
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. HCA Fee Schedules
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
99204 in every state
Map and ranking of every state program that prices 99204.
Compare 99204 across states99204 under Medicare
Medicare's 2026 non-facility payment for 99204 in New Mexico is $172.12; New Mexico Medicaid's rate is 139% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee New Mexico's full schedule: all 9,139 codes, every published period, and commercial payer rates for 99204.
Book a 15-min Medicaid walkthrough