CPT code 99344: Home visit, new patient, moderate complexity2026 Medicare rate & RVUs in New Mexico

A clinician reports this home or residential evaluation for a new patient when moderate medical decision making or at least 60 minutes supports the service.

CMS RVU26DEffective Oct 1, 2026One payment locality236.3K Medicare services in 2024

In New Mexico, Medicare pays $143.93 for 99344 in the office.

$143.93Office (non-facility)
Not available in this settingHospital or facility
−1.8%vs the national office rate ($146.63)

Check a contract rate as a % of Medicare · 99344 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 99344 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 99344 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 99344 covers

A physician or other qualified health care professional evaluates a new patient in the patient’s home or another residential setting, such as an assisted-living residence or group home. The visit may address an acute concern, a change in chronic disease, medication management, or several ongoing conditions when care is provided in the residence. The clinician obtains a medically appropriate history and/or examination and develops or updates the plan of care; this code is for a home or residential encounter, not a nursing-facility visit.

Select 99344 when the documented medical decision making is moderate. Alternatively, code selection may use total qualifying physician or qualified health care professional time on the encounter date; 60 minutes must be met or exceeded. Documentation should establish new-patient status and the residence setting, and support the problems assessed, data reviewed, and management risk underlying the level selected. CMS pays the service under the physician fee schedule, with relative value units for clinician work, practice expense, and malpractice.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How New Mexico compares for 99344

Across 109 of 109 payment localities, the office rate for 99344 runs from $137.63 in Arkansas to $195.11 in Alaska. New Mexico pays $143.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

99344 in New Mexico vs other payment areas
  1. New Mexico · this page$143.93
  2. Los Angeles, CA · California$157.08+$13.15
  3. Washington, DC area · District of Columbia$160.50+$16.57
  4. Miami, FL · Florida$156.66+$12.73
  5. Chicago, IL · Illinois$154.45+$10.52
  6. Manhattan, NY · New York$163.26+$19.33
  7. Alaska · Alaska$195.11+$51.18

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

99344 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$138.63—
ArkansasArkansas$137.63—
ArizonaArizona$144.45—
Bakersfield, CACalifornia$150.72—
Chico, CACalifornia$150.14—
El Centro, CACalifornia$150.17—
Fresno, CACalifornia$150.14—
Hanford, CACalifornia$150.14—

99344 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$137.63

$195.11

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
99344 office rate range by state
State / territoryOffice rate rangeLocalities
AK$195.111
AL$138.631
AR$137.631
AZ$144.451
CA$150.14–$174.7729
CO$149.521
CT$153.171
DC$160.501
DE$146.021
FL$147.32–$156.663
GA$142.75–$148.722
GU$150.601
HI$150.601
IA$139.551
ID$140.181
IL$145.69–$154.454
IN$140.571
KS$139.621
KY$141.131
LA$141.18–$144.682
MA$149.49–$158.782
MD$147.70–$160.503
ME$140.98–$144.252
MI$143.37–$148.712
MN$144.191
MO$140.22–$144.463
MS$138.921
MT$146.621
NC$141.661
ND$143.461
NE$139.811
NH$147.821
NJ$155.16–$160.302
NM$143.931
NV$145.781
NY$142.77–$165.935
OH$142.721
OK$140.581
OR$144.86–$151.842
PA$142.61–$151.252
PR$147.051
RI$149.371
SC$142.381
SD$143.081
TN$140.021
TX$142.16–$149.098
UT$143.361
VA$144.29–$160.502
VI$147.051
VT$143.541
WA$149.01–$160.762
WI$141.021
WV$142.981
WY$145.241

See 99344 in every payment locality

How the 99344 rate is calculated

Each of 99344’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 99344

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.87

2.87 RVUs× 1.000 GPCI

Practice expense1.36

1.36 RVUs× 1.000 GPCI

Malpractice0.16

0.16 RVUs× 1.000 GPCI

Adjusted RVUs

4.3900

Conversion factor

$33.4009

Medicare rate

$146.63

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

13,056

Code
99344
Physician work
2.87
Practice expense
1.36
Malpractice
0.16

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 99344 in New Mexico
ComponentRVULocality factorAdjusted
Physician work2.87× 1.0002.8700
Practice expense1.36× 0.9171.2471
Malpractice0.16× 1.2010.1922
Total RVUs4.3093
Conversion factor× 33.4009

Office rate, New Mexico$143.93

Office: (2.87 × 1 + 1.36 × 0.917 + 0.16 × 1.201) × $33.4009 = $143.93

Open 99344 in the RVU calculator

Payment rules and modifiers for 99344

99344 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 99344

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$146.63

Higher because the practice carries its own overhead.

How 99344 has changed in New Mexico

99344 · Office / nonfacility

$143.93

Effective 2026-10-01

The base rate is $9.79 higher than on 2025-10-01, moving from $134.14 to $143.93 (7.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $134.14changed to$143.93

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.20 changed to 1.36
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $138.05changed to$134.14

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $135.79changed to$138.05

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $141.07changed to$135.79

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.18 changed to 0.16
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $175.46changed to$141.07

    • Conversion factor 34.6062 changed to 33.8872
    • Work RVU 3.38 changed to 2.87
    • Practice expense RVU 1.60 changed to 1.20
    • Malpractice RVU 0.22 changed to 0.18
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $176.51changed to$175.46

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.21 changed to 0.22

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $182.36changed to$176.51

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.55 changed to 1.60
    • Malpractice RVU 0.22 changed to 0.21
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $182.93changed to$182.36

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.53 changed to 1.55
    • Malpractice RVU 0.23 changed to 0.22
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $183.73changed to$182.93

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.56 changed to 1.53

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $182.42changed to$183.73

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.55 changed to 1.56
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $180.59changed to$182.42

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.52 changed to 1.55
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $180.83changed to$180.59

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.22 changed to 0.23

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $179.93changed to$180.83

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $179.18changed to$179.93

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.21 changed to 0.22
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $173.26changed to$179.18

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.63 changed to 1.52
    • Malpractice RVU 0.22 changed to 0.21
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $173.26

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$143.93Not available in this settingRVU26D
2026-07-01$143.93Not available in this settingRVU26C
2026-04-01$143.93Not available in this settingRVU26B
2026-01-01$143.93Not available in this settingRVU26A
2025-10-01$134.14Not available in this settingRVU25D
2025-07-01$134.14Not available in this settingRVU25C
2025-04-01$134.14Not available in this settingRVU25B
2025-01-01$134.14Not available in this settingRVU25A
2024-10-01$138.05Not available in this settingRVU24D
2024-07-01$138.05Not available in this settingRVU24C
2024-04-01$138.05Not available in this settingRVU24B
2024-03-09$138.05Not available in this settingRVU24AR
2024-01-01$135.79Not available in this settingRVU24A
2023-10-01$141.07Not available in this settingRVU23D
2023-07-01$141.07Not available in this settingRVU23C
2023-04-01$141.07Not available in this settingRVU23B
2023-01-01$141.07Not available in this settingRVU23A
2022-10-01$175.46Not available in this settingRVU22D
2022-07-01$175.46Not available in this settingRVU22C
2022-04-01$175.46Not available in this settingRVU22B
2022-01-01$175.46Not available in this settingRVU22A
2021-10-01$176.51Not available in this settingRVU21D
2021-07-01$176.51Not available in this settingRVU21C
2021-04-01$176.51Not available in this settingRVU21B
2021-01-01$176.51Not available in this settingRVU21A
2020-10-01$182.36Not available in this settingRVU20D
2020-07-01$182.36Not available in this settingRVU20C
2020-04-01$182.36Not available in this settingRVU20B
2020-01-01$182.36Not available in this settingRVU20A
2019-10-01$182.93Not available in this settingRVU19D
2019-07-01$182.93Not available in this settingRVU19C
2019-04-01$182.93Not available in this settingRVU19B
2019-01-01$182.93Not available in this settingRVU19A
2018-10-01$183.73Not available in this settingRVU18D
2018-07-01$183.73Not available in this settingRVU18C
2018-04-01$183.73Not available in this settingRVU18B
2018-01-01$183.73Not available in this settingRVU18AR1
2017-10-01$182.42Not available in this settingRVU17D
2017-07-01$182.42Not available in this settingRVU17C
2017-04-01$182.42Not available in this settingRVU17B
2017-01-01$182.42Not available in this settingRVU17A
2016-10-01$180.59Not available in this settingRVU16D
2016-07-01$180.59Not available in this settingRVU16C
2016-04-01$180.59Not available in this settingRVU16B
2016-01-01$180.59Not available in this settingRVU16A
2015-10-01$180.83Not available in this settingRVU15D
2015-07-01$180.83Not available in this settingRVU15C
2015-04-01$179.93Not available in this settingRVU15B
2015-01-01$179.93Not available in this settingRVU15A
2014-10-01$179.18Not available in this settingRVU14D
2014-07-01$179.18Not available in this settingRVU14C
2014-04-01$179.18Not available in this settingRVU14B
2014-01-01$179.18Not available in this settingRVU14A
2013-10-01$173.26Not available in this settingRVU13D
2013-07-01$173.26Not available in this settingRVU13C
2013-04-01$173.26Not available in this settingRVU13B
2013-01-01$173.26Not available in this settingRVU13AR

Price 99344 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

99344 billing questions

How does 99344 differ from 99342?

99344 requires moderate medical decision making, or at least 60 minutes when selecting by time. 99342 is for low medical decision making or its lower time threshold.

Can time alone support reporting 99344?

Yes. The clinician may select the code based on at least 60 minutes of qualifying time on the encounter date, even when selecting by medical decision making would not support this level.

What makes the patient new for this service?

The patient must not have received professional services within the past three years from the reporting clinician, or another clinician of the same specialty and subspecialty in the same group practice.

Can 99344 be reported for an assisted-living visit?

Yes, when the encounter is an evaluation and management service in the patient’s residence and the patient meets the new-patient criteria. Use a nursing-facility code for an encounter in a nursing facility.

What documentation supports the moderate level?

Document the conditions evaluated, relevant data reviewed, and management decisions and risks that support moderate medical decision making. If selecting by time, document the qualifying work and total time for the encounter date.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 99344PPRRVU2026_Oct_nonQPP.csv, line 13,056 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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