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 101–150 of 1,245 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 3075F | Syst bp ge 130 - 139mm hg | 11,569 | $0.02 | $0.00 | $5.00 |
| 99231 | Sbsq hosp ip/obs sf/low 25 | 11,501 | $26.34 | $0.83 | $99.18 |
| 87880 | Strep a assay w/optic | 11,461 | $9.61 | $0.00 | $36.17 |
| D0140 | Limit oral eval problm focus | 11,349 | $57.79 | $10.29 | $70.76 |
| A0110 | Nonemergency transport bus | 11,279 | $11.56 | $6.89 | $12.96 |
| 71046 | X-ray exam chest 2 views | 11,184 | $23.23 | $0.22 | $181.23 |
| A7038 | Pos airway pressure filter | 11,042 | $3.27 | $2.38 | $6.43 |
| H0048 | Spec coll non-blood:a/d test | 10,933 | $6.09 | $2.35 | $8.29 |
| 92015 | Determine refractive state | 10,835 | $16.29 | $0.00 | $45.00 |
| 87491 | Chlmyd trach dna amp probe | 10,797 | $23.06 | $0.74 | $130.48 |
| 87591 | N.gonorrhoeae dna amp prob | 10,792 | $19.04 | $0.74 | $130.48 |
| V2100 | Lens spher single plano 4.00 | 10,750 | $46.15 | $0.00 | $68.85 |
| 99223 | 1st hosp ip/obs high 75 | 10,294 | $98.36 | $6.84 | $282.83 |
| 99222 | 1st hosp ip/obs moderate 55 | 10,289 | $82.02 | $6.22 | $241.39 |
| 81001 | Urinalysis auto w/scope | 9,958 | $14.64 | $0.56 | $45.97 |
| D9230 | Analgesia | 9,772 | $78.16 | $39.44 | $83.80 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 9,437 | $51.14 | $21.11 | $110.96 |
| 83036 | Hemoglobin glycosylated a1c | 9,376 | $13.26 | $0.00 | $88.47 |
| 3077F | Syst bp >= 140 mm hg | 9,229 | $0.00 | $0.00 | $0.00 |
| T1015 | Clinic service | 9,219 | $91.62 | $0.00 | $265.59 |
| D7140 | Extraction erupted tooth/exr | 9,120 | $153.54 | $28.36 | $212.59 |
| 99394 | Prev visit est age 12-17 | 8,981 | $95.81 | $0.00 | $135.61 |
| 96372 | Ther/proph/diag inj sc/im | 8,759 | $12.38 | $0.00 | $70.48 |
| 97012 | Mechanical traction therapy | 8,636 | $5.72 | $0.00 | $13.56 |
| D1354 | Int caries med app per tooth | 8,557 | $52.35 | $20.30 | $71.37 |
| 83735 | Assay of magnesium | 8,540 | $12.02 | $0.15 | $58.29 |
| J0574 | Bupren/nal 6.1 to 10mg bupre | 8,507 | $6.93 | $1.06 | $12.58 |
| 90832 | Psytx w pt 30 minutes | 8,416 | $18.84 | $0.00 | $68.52 |
| D2930 | Prefab stnlss steel crwn pri | 8,212 | $282.12 | $125.41 | $333.32 |
| E0570 | Nebulizer, with compressor | 7,978 | $10.42 | $1.03 | $17.61 |
| S0621 | Routine ophthalmological exa | 7,824 | $35.19 | $0.00 | $80.00 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | 7,773 | $14.89 | $0.00 | $22.13 |
| 96374 | Ther/proph/diag inj iv push | 7,758 | $60.61 | $0.00 | $285.94 |
| G8510 | Scr dep neg, no plan reqd | 7,652 | $0.38 | $0.00 | $1.48 |
| V5008 | Hearing screening | 7,581 | $21.73 | $9.21 | $22.10 |
| 84484 | Assay of troponin quant | 7,505 | $21.95 | $1.01 | $68.86 |
| 80061 | Lipid panel | 7,463 | $15.08 | $0.56 | $142.01 |
| 92014 | Compre oph exam est pt 1/> | 7,383 | $49.91 | $10.75 | $120.73 |
| 97014 | Electric stimulation therapy | 7,331 | $6.34 | $0.00 | $15.83 |
| 90686 | Iiv4 vacc no prsv 0.5 ml im | 7,235 | $11.22 | $0.00 | $23.28 |
| 99439 | Chrnc care mgmt staf ea addl | 7,192 | $33.34 | $0.14 | $48.29 |
| 81002 | Urinalysis nonauto w/o scope | 7,155 | $0.86 | $0.00 | $5.72 |
| H0015 | Alcohol and/or drug services | 7,098 | $122.73 | $0.00 | $197.43 |
| H0038 | Self-help/peer svc per 15min | 7,069 | $82.63 | $12.33 | $155.39 |
| 95117 | Immunotherapy injections | 6,972 | $6.27 | $0.27 | $9.79 |
| 76819 | Fetal biophys profil w/o nst | 6,945 | $75.79 | $1.12 | $383.66 |
| S5161 | Emer rspns sys serv permonth | 6,885 | $31.74 | $0.00 | $36.32 |
| G0463 | Hospital outpt clinic visit | 6,867 | $73.93 | $7.79 | $201.95 |
| 99238 | Hosp ip/obs dschrg mgmt 30/< | 6,866 | $62.91 | $7.00 | $115.68 |
| 85018 | Hemoglobin | 6,821 | $9.10 | $0.00 | $19.75 |