District of Columbia Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in District of Columbia, based on 2024 claims data.
2024 Overview
Procedures
1.3K
Total Claims
8.4M
Total Paid
$1.0B
Popular Services
Procedures
Showing 51–100 of 1,254 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 36415 | Coll venous bld venipuncture | 24,375 | $1.67 | $0.00 | $7.83 |
| T1023 | Program intake assessment | 24,118 | $273.62 | $0.00 | $416.33 |
| D0274 | Bitewings four images | 22,290 | $35.38 | $0.00 | $49.91 |
| S5135 | Adult companioncare per 15m | 22,048 | $158.59 | $105.08 | $206.59 |
| 96127 | Brief emotional/behav assmt | 21,001 | $17.47 | $0.00 | $53.65 |
| A4657 | Syringe w/wo needle | 20,808 | $0.00 | $0.00 | $0.00 |
| 90834 | Psytx w pt 45 minutes | 20,414 | $82.18 | $0.00 | $361.10 |
| T1017 | Targeted case management | 20,181 | $81.26 | $0.00 | $1,470.22 |
| 92508 | Tx sp lang voice comm group | 19,807 | $76.14 | $11.26 | $113.57 |
| 97140 | Manual therapy 1/> regions | 19,651 | $58.12 | $18.41 | $171.55 |
| A4927 | Non-sterile gloves | 19,331 | $29.82 | $3.50 | $55.00 |
| G9006 | Mccd, home monitoring | 18,014 | $0.00 | $0.00 | $0.00 |
| 74177 | Ct abd & pelvis w/contrast | 17,896 | $137.12 | $14.79 | $562.84 |
| 93005 | Electrocardiogram tracing | 17,873 | $4.82 | $0.00 | $15.53 |
| G2211 | Complex e/m visit add on | 17,400 | $11.00 | $0.00 | $30.75 |
| A6250 | Skin seal protect moisturizr | 17,311 | $84.52 | $20.17 | $194.96 |
| 90460 | Im admin 1st/only component | 17,170 | $14.56 | $0.00 | $54.22 |
| 99204 | Office o/p new mod 45 min | 16,897 | $135.89 | $0.00 | $313.40 |
| 99203 | Office o/p new low 30 min | 16,194 | $89.79 | $0.00 | $383.23 |
| T2033 | Res, nos waiver per diem | 16,176 | $428.72 | $306.73 | $525.71 |
| A4554 | Disposable underpads | 15,896 | $74.27 | $21.41 | $95.28 |
| 80048 | Basic metabolic pnl total ca | 15,833 | $0.99 | $0.00 | $6.46 |
| T2019 | Habil sup empl waiver 15min | 15,618 | $179.43 | $73.99 | $283.10 |
| 93306 | Tte w/doppler complete | 15,559 | $164.46 | $11.39 | $990.01 |
| 92507 | Tx sp lang voice comm indiv | 15,463 | $160.16 | $0.00 | $612.43 |
| A0427 | Als1-emergency | 15,278 | $1,162.49 | $0.00 | $1,431.58 |
| D0272 | Dental bitewings two images | 14,905 | $36.72 | $0.00 | $40.00 |
| D0150 | Comprehensve oral evaluation | 14,779 | $61.99 | $0.00 | $83.04 |
| 99309 | Sbsq nf care moderate mdm 30 | 14,278 | $37.07 | $0.00 | $100.25 |
| 99291 | Critical care first hour | 14,032 | $125.17 | $30.37 | $344.23 |
| G0467 | Fqhc visit, estab pt | 13,546 | $0.03 | $0.00 | $3.48 |
| G0300 | Hhs/hospice of lpn ea 15 min | 13,518 | $115.64 | $0.00 | $980.12 |
| 81001 | Urinalysis auto w/scope | 13,104 | $0.52 | $0.00 | $4.50 |
| D0603 | Caries risk assess high risk | 12,576 | $0.00 | $0.00 | $0.00 |
| D0140 | Limit oral eval problm focus | 12,564 | $40.87 | $0.00 | $52.81 |
| D2392 | Post 2 srfc resinbased cmpst | 12,522 | $120.64 | $0.00 | $160.00 |
| 90832 | Psytx w pt 30 minutes | 11,924 | $64.82 | $0.00 | $370.71 |
| 99282 | Emergency dept visit sf mdm | 11,799 | $328.47 | $30.29 | $438.10 |
| S9451 | Exercise class | 11,750 | $82.56 | $64.75 | $89.61 |
| J3490 | Drugs unclassified injection | 10,798 | $0.11 | $0.00 | $5.14 |
| 88305 | Tissue exam by pathologist | 10,796 | $25.47 | $0.00 | $81.75 |
| 90471 | Immunization admin | 10,435 | $2.67 | $0.00 | $37.28 |
| 97153 | Adaptive behavior tx by tech | 10,342 | $0.00 | $0.00 | $0.00 |
| 99391 | Per pm reeval est pat infant | 9,954 | $168.55 | $0.00 | $360.00 |
| 83735 | Assay of magnesium | 9,883 | $1.34 | $0.00 | $10.05 |
| H0040 | Assert comm tx pgm per diem | 9,760 | $1,062.49 | $0.00 | $2,375.43 |
| J1270 | Injection, doxercalciferol | 9,738 | $0.29 | $0.05 | $0.46 |
| 99393 | Prev visit est age 5-11 | 9,681 | $168.38 | $0.00 | $350.11 |
| D0350 | Oral/facial photo images | 9,418 | $75.83 | $26.97 | $172.42 |
| 99392 | Prev visit est age 1-4 | 9,401 | $182.72 | $0.00 | $340.87 |