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.
In New Mexico, Medicare pays $143.93 for 99344 in the office.
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.
On this page 11 sections
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.
- New Mexico · this page$143.93
- Los Angeles, CA · California$157.08+$13.15
- Washington, DC area · District of Columbia$160.50+$16.57
- Miami, FL · Florida$156.66+$12.73
- Chicago, IL · Illinois$154.45+$10.52
- Manhattan, NY · New York$163.26+$19.33
- Alaska · Alaska$195.11+$51.18
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $150.14 | — |
| Merced, CACalifornia | $150.14 | — |
| Modesto, CACalifornia | $150.14 | — |
| Napa, CACalifornia | $164.49 | — |
| Oxnard, CACalifornia | $155.57 | — |
| Redding, CACalifornia | $150.14 | — |
| Rest of CaliforniaCalifornia | $150.14 | — |
| Riverside, CACalifornia | $151.93 | — |
| Sacramento, CACalifornia | $155.01 | — |
| Salinas, CACalifornia | $154.34 | — |
| San Diego, CACalifornia | $155.96 | — |
| Marin County, CACalifornia | $171.47 | — |
| San Francisco, CACalifornia | $171.29 | — |
| San Benito County, CACalifornia | $174.77 | — |
| Santa Clara County, CACalifornia | $174.03 | — |
| San Luis Obispo, CACalifornia | $152.09 | — |
| Santa Cruz, CACalifornia | $155.93 | — |
| Santa Maria, CACalifornia | $154.37 | — |
| Santa Rosa, CACalifornia | $157.38 | — |
| Stockton, CACalifornia | $150.14 | — |
| Vallejo, CACalifornia | $164.22 | — |
| Visalia, CACalifornia | $150.14 | — |
| Yuba City, CACalifornia | $150.14 | — |
| ColoradoColorado | $149.52 | — |
| ConnecticutConnecticut | $153.17 | — |
| DelawareDelaware | $146.02 | — |
| Fort Lauderdale, FLFlorida | $151.54 | — |
| Rest of FloridaFlorida | $147.32 | — |
| Atlanta, GAGeorgia | $148.72 | — |
| Rest of GeorgiaGeorgia | $142.75 | — |
| Hawaii, Guam, HIHawaii | $150.60 | — |
| IowaIowa | $139.55 | — |
| IdahoIdaho | $140.18 | — |
| East St. Louis, ILIllinois | $148.41 | — |
| Rest of IllinoisIllinois | $145.69 | — |
| Suburban Chicago, ILIllinois | $152.65 | — |
| IndianaIndiana | $140.57 | — |
| KansasKansas | $139.62 | — |
| KentuckyKentucky | $141.13 | — |
| New Orleans, LALouisiana | $144.68 | — |
| Rest of LouisianaLouisiana | $141.18 | — |
| Metropolitan Boston, MAMassachusetts | $158.78 | — |
| Rest of MassachusettsMassachusetts | $149.49 | — |
| Baltimore area, MDMaryland | $152.75 | — |
| Rest of MarylandMaryland | $147.70 | — |
| Rest of MaineMaine | $140.98 | — |
| Southern Maine, MEMaine | $144.25 | — |
| Detroit, MIMichigan | $148.71 | — |
| Rest of MichiganMichigan | $143.37 | — |
| MinnesotaMinnesota | $144.19 | — |
| Metropolitan Kansas City, MOMissouri | $143.74 | — |
| Metropolitan St. Louis, MOMissouri | $144.46 | — |
| Rest of MissouriMissouri | $140.22 | — |
| MississippiMississippi | $138.92 | — |
| MontanaMontana | $146.62 | — |
| North CarolinaNorth Carolina | $141.66 | — |
| North DakotaNorth Dakota | $143.46 | — |
| NebraskaNebraska | $139.81 | — |
| New HampshireNew Hampshire | $147.82 | — |
| Northern New JerseyNew Jersey | $160.30 | — |
| Rest of New JerseyNew Jersey | $155.16 | — |
| NevadaNevada | $145.78 | — |
| NYC suburbs and Long Island, NYNew York | $165.93 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $156.38 | — |
| Queens, NYNew York | $163.39 | — |
| Rest of New YorkNew York | $142.77 | — |
| OhioOhio | $142.72 | — |
| OklahomaOklahoma | $140.58 | — |
| Portland, OROregon | $151.84 | — |
| Rest of OregonOregon | $144.86 | — |
| Metropolitan Philadelphia, PAPennsylvania | $151.25 | — |
| Rest of PennsylvaniaPennsylvania | $142.61 | — |
| Puerto RicoPuerto Rico | $147.05 | — |
| Rhode IslandRhode Island | $149.37 | — |
| South CarolinaSouth Carolina | $142.38 | — |
| South DakotaSouth Dakota | $143.08 | — |
| TennesseeTennessee | $140.02 | — |
| Austin, TXTexas | $148.85 | — |
| Beaumont, TXTexas | $142.16 | — |
| Brazoria, TXTexas | $145.81 | — |
| Dallas, TXTexas | $146.55 | — |
| Fort Worth, TXTexas | $146.17 | — |
| Galveston, TXTexas | $146.16 | — |
| Houston, TXTexas | $149.09 | — |
| Rest of TexasTexas | $143.79 | — |
| UtahUtah | $143.36 | — |
| VirginiaVirginia | $144.29 | — |
| Virgin Islands, VIUnited States Virgin Islands | $147.05 | — |
| VermontVermont | $143.54 | — |
| Rest of WashingtonWashington | $149.01 | — |
| King County, WAWashington | $160.76 | — |
| WisconsinWisconsin | $141.02 | — |
| West VirginiaWest Virginia | $142.98 | — |
| WyomingWyoming | $145.24 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $195.11 | 1 |
| AL | $138.63 | 1 |
| AR | $137.63 | 1 |
| AZ | $144.45 | 1 |
| CA | $150.14–$174.77 | 29 |
| CO | $149.52 | 1 |
| CT | $153.17 | 1 |
| DC | $160.50 | 1 |
| DE | $146.02 | 1 |
| FL | $147.32–$156.66 | 3 |
| GA | $142.75–$148.72 | 2 |
| GU | $150.60 | 1 |
| HI | $150.60 | 1 |
| IA | $139.55 | 1 |
| ID | $140.18 | 1 |
| IL | $145.69–$154.45 | 4 |
| IN | $140.57 | 1 |
| KS | $139.62 | 1 |
| KY | $141.13 | 1 |
| LA | $141.18–$144.68 | 2 |
| MA | $149.49–$158.78 | 2 |
| MD | $147.70–$160.50 | 3 |
| ME | $140.98–$144.25 | 2 |
| MI | $143.37–$148.71 | 2 |
| MN | $144.19 | 1 |
| MO | $140.22–$144.46 | 3 |
| MS | $138.92 | 1 |
| MT | $146.62 | 1 |
| NC | $141.66 | 1 |
| ND | $143.46 | 1 |
| NE | $139.81 | 1 |
| NH | $147.82 | 1 |
| NJ | $155.16–$160.30 | 2 |
| NM | $143.93 | 1 |
| NV | $145.78 | 1 |
| NY | $142.77–$165.93 | 5 |
| OH | $142.72 | 1 |
| OK | $140.58 | 1 |
| OR | $144.86–$151.84 | 2 |
| PA | $142.61–$151.25 | 2 |
| PR | $147.05 | 1 |
| RI | $149.37 | 1 |
| SC | $142.38 | 1 |
| SD | $143.08 | 1 |
| TN | $140.02 | 1 |
| TX | $142.16–$149.09 | 8 |
| UT | $143.36 | 1 |
| VA | $144.29–$160.50 | 2 |
| VI | $147.05 | 1 |
| VT | $143.54 | 1 |
| WA | $149.01–$160.76 | 2 |
| WI | $141.02 | 1 |
| WV | $142.98 | 1 |
| WY | $145.24 | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.87 | × 1.000 | 2.8700 |
| Practice expense | 1.36 | × 0.917 | 1.2471 |
| Malpractice | 0.16 | × 1.201 | 0.1922 |
| Total RVUs | 4.3093 | ||
| 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
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.
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
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.
January 1, 2025
RVU25A
$138.05changed to$134.14
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$135.79changed to$138.05
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
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
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.
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.
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.
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.
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.
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.
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.
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.
July 1, 2015
RVU15C
$179.93changed to$180.83
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
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.
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.
January 1, 2013
RVU13AR
Earliest loaded release: $173.26
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $143.93 | Not available in this setting | RVU26D |
| 2026-07-01 | $143.93 | Not available in this setting | RVU26C |
| 2026-04-01 | $143.93 | Not available in this setting | RVU26B |
| 2026-01-01 | $143.93 | Not available in this setting | RVU26A |
| 2025-10-01 | $134.14 | Not available in this setting | RVU25D |
| 2025-07-01 | $134.14 | Not available in this setting | RVU25C |
| 2025-04-01 | $134.14 | Not available in this setting | RVU25B |
| 2025-01-01 | $134.14 | Not available in this setting | RVU25A |
| 2024-10-01 | $138.05 | Not available in this setting | RVU24D |
| 2024-07-01 | $138.05 | Not available in this setting | RVU24C |
| 2024-04-01 | $138.05 | Not available in this setting | RVU24B |
| 2024-03-09 | $138.05 | Not available in this setting | RVU24AR |
| 2024-01-01 | $135.79 | Not available in this setting | RVU24A |
| 2023-10-01 | $141.07 | Not available in this setting | RVU23D |
| 2023-07-01 | $141.07 | Not available in this setting | RVU23C |
| 2023-04-01 | $141.07 | Not available in this setting | RVU23B |
| 2023-01-01 | $141.07 | Not available in this setting | RVU23A |
| 2022-10-01 | $175.46 | Not available in this setting | RVU22D |
| 2022-07-01 | $175.46 | Not available in this setting | RVU22C |
| 2022-04-01 | $175.46 | Not available in this setting | RVU22B |
| 2022-01-01 | $175.46 | Not available in this setting | RVU22A |
| 2021-10-01 | $176.51 | Not available in this setting | RVU21D |
| 2021-07-01 | $176.51 | Not available in this setting | RVU21C |
| 2021-04-01 | $176.51 | Not available in this setting | RVU21B |
| 2021-01-01 | $176.51 | Not available in this setting | RVU21A |
| 2020-10-01 | $182.36 | Not available in this setting | RVU20D |
| 2020-07-01 | $182.36 | Not available in this setting | RVU20C |
| 2020-04-01 | $182.36 | Not available in this setting | RVU20B |
| 2020-01-01 | $182.36 | Not available in this setting | RVU20A |
| 2019-10-01 | $182.93 | Not available in this setting | RVU19D |
| 2019-07-01 | $182.93 | Not available in this setting | RVU19C |
| 2019-04-01 | $182.93 | Not available in this setting | RVU19B |
| 2019-01-01 | $182.93 | Not available in this setting | RVU19A |
| 2018-10-01 | $183.73 | Not available in this setting | RVU18D |
| 2018-07-01 | $183.73 | Not available in this setting | RVU18C |
| 2018-04-01 | $183.73 | Not available in this setting | RVU18B |
| 2018-01-01 | $183.73 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $182.42 | Not available in this setting | RVU17D |
| 2017-07-01 | $182.42 | Not available in this setting | RVU17C |
| 2017-04-01 | $182.42 | Not available in this setting | RVU17B |
| 2017-01-01 | $182.42 | Not available in this setting | RVU17A |
| 2016-10-01 | $180.59 | Not available in this setting | RVU16D |
| 2016-07-01 | $180.59 | Not available in this setting | RVU16C |
| 2016-04-01 | $180.59 | Not available in this setting | RVU16B |
| 2016-01-01 | $180.59 | Not available in this setting | RVU16A |
| 2015-10-01 | $180.83 | Not available in this setting | RVU15D |
| 2015-07-01 | $180.83 | Not available in this setting | RVU15C |
| 2015-04-01 | $179.93 | Not available in this setting | RVU15B |
| 2015-01-01 | $179.93 | Not available in this setting | RVU15A |
| 2014-10-01 | $179.18 | Not available in this setting | RVU14D |
| 2014-07-01 | $179.18 | Not available in this setting | RVU14C |
| 2014-04-01 | $179.18 | Not available in this setting | RVU14B |
| 2014-01-01 | $179.18 | Not available in this setting | RVU14A |
| 2013-10-01 | $173.26 | Not available in this setting | RVU13D |
| 2013-07-01 | $173.26 | Not available in this setting | RVU13C |
| 2013-04-01 | $173.26 | Not available in this setting | RVU13B |
| 2013-01-01 | $173.26 | Not available in this setting | RVU13AR |
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
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
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