Delaware Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Delaware, based on 2024 claims data.
2024 Overview
Procedures
1.2K
Total Claims
6.4M
Total Paid
$635.5M
Popular Services
Procedures
Showing 51–100 of 1,245 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 90834 | Psytx w pt 45 minutes | 23,034 | $42.24 | $0.00 | $109.83 |
| H0036 | Comm psy face-face per 15min | 22,799 | $185.03 | $41.70 | $333.14 |
| T2002 | N-et; per diem | 22,516 | $60.96 | $14.22 | $72.74 |
| H2036 | A/d tx program, per diem | 22,388 | $285.74 | $11.00 | $437.75 |
| 99215 | Office o/p est hi 40 min | 22,382 | $105.77 | $0.00 | $240.60 |
| 3079F | Diast bp 80-89 mm hg | 21,832 | $0.04 | $0.00 | $9.33 |
| 99204 | Office o/p new mod 45 min | 21,640 | $99.23 | $0.00 | $185.75 |
| T2019 | Habil sup empl waiver 15min | 21,467 | $159.30 | $22.03 | $406.81 |
| D0150 | Comprehensve oral evaluation | 21,051 | $63.13 | $0.00 | $83.57 |
| A0429 | Bls-emergency | 20,945 | $145.64 | $0.00 | $562.05 |
| 99233 | Sbsq hosp ip/obs high 50 | 20,854 | $71.34 | $4.30 | $224.13 |
| D0602 | Caries risk assess mod risk | 20,797 | $0.00 | $0.00 | $0.00 |
| 92507 | Tx sp lang voice comm indiv | 20,707 | $52.37 | $14.65 | $196.05 |
| 80048 | Basic metabolic pnl total ca | 19,741 | $9.08 | $0.25 | $82.39 |
| V2020 | Vision svcs frames purchases | 19,731 | $30.04 | $0.00 | $73.49 |
| 71045 | X-ray exam chest 1 view | 19,550 | $22.10 | $0.00 | $138.32 |
| H0040 | Assert comm tx pgm per diem | 19,198 | $235.64 | $0.00 | $352.23 |
| 98941 | Chiropract manj 3-4 regions | 19,057 | $21.76 | $0.00 | $40.83 |
| T2021 | Day habil waiver per 15 min | 18,268 | $95.80 | $12.04 | $200.36 |
| 93005 | Electrocardiogram tracing | 18,060 | $48.71 | $0.52 | $164.38 |
| S5105 | Centerbased day care perdiem | 18,028 | $113.66 | $29.63 | $1,654.55 |
| 90471 | Immunization admin | 17,771 | $0.21 | $0.00 | $87.96 |
| G2211 | Complex e/m visit add on | 17,592 | $6.17 | $0.00 | $30.78 |
| S9083 | Urgent care center global | 17,098 | $92.58 | $0.00 | $230.00 |
| 92508 | Tx sp lang voice comm group | 16,757 | $20.66 | $16.67 | $22.30 |
| 99392 | Prev visit est age 1-4 | 16,480 | $87.21 | $0.00 | $123.78 |
| 96110 | Developmental screen w/score | 16,278 | $19.86 | $0.00 | $32.51 |
| T2033 | Res, nos waiver per diem | 15,622 | $252.81 | $173.70 | $1,536.08 |
| 90461 | Im admin each addl component | 14,910 | $0.00 | $0.00 | $0.00 |
| 99391 | Per pm reeval est pat infant | 14,673 | $71.89 | $0.00 | $104.24 |
| H0004 | Alcohol and/or drug services | 14,102 | $48.45 | $12.63 | $136.48 |
| 92551 | Pure tone hearing test air | 13,847 | $19.30 | $0.00 | $35.31 |
| 99282 | Emergency dept visit sf mdm | 13,628 | $167.76 | $0.00 | $380.97 |
| 99393 | Prev visit est age 5-11 | 13,622 | $92.31 | $0.00 | $125.90 |
| A0380 | Basic life support mileage | 13,576 | $24.65 | $0.00 | $154.79 |
| G0481 | Drug test def 8-14 classes | 13,464 | $98.62 | $45.25 | $137.78 |
| D2391 | Post 1 srfc resinbased cmpst | 13,129 | $196.95 | $31.22 | $230.11 |
| 3725F | Screen depression performed | 12,959 | $0.01 | $0.00 | $1.28 |
| D0330 | Panoramic image | 12,891 | $85.42 | $9.33 | $103.70 |
| 99490 | Chrnc care mgmt staff 1st 20 | 12,813 | $28.59 | $0.00 | $47.74 |
| S9124 | Nursing care, in the home; b | 12,680 | $638.43 | $296.61 | $4,109.60 |
| 99309 | Sbsq nf care moderate mdm 30 | 12,619 | $16.98 | $0.00 | $92.81 |
| 93000 | Electrocardiogram complete | 12,390 | $12.62 | $0.00 | $121.04 |
| 97010 | Hot or cold packs therapy | 12,206 | $5.72 | $0.00 | $12.14 |
| 81003 | Urinalysis auto w/o scope | 11,992 | $3.67 | $0.00 | $44.12 |
| G0299 | Hhs/hospice of rn ea 15 min | 11,791 | $153.02 | $20.68 | $288.09 |
| 80307 | Drug test prsmv chem anlyzr | 11,760 | $40.68 | $0.00 | $213.45 |
| D0240 | Intraoral occlusal film | 11,684 | $29.55 | $6.38 | $35.38 |
| T1025 | Ped compr care pkg, per diem | 11,615 | $374.88 | $210.22 | $666.79 |
| 99212 | Office o/p est sf 10 min | 11,605 | $23.59 | $0.00 | $163.19 |