Hawaii Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Hawaii, based on 2024 claims data.
2024 Overview
Procedures
1.4K
Total Claims
7.0M
Total Paid
$608.4M
Popular Services
Procedures
Showing 1–50 of 1,441 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99213 | Office o/p est low 20 min | 252,318 | $120.82 | $0.00 | $436.75 |
| 99214 | Office o/p est mod 30 min | 237,433 | $130.11 | $0.00 | $409.96 |
| A4657 | Syringe w/wo needle | 205,797 | $0.00 | $0.00 | $0.52 |
| 85025 | Complete cbc w/auto diff wbc | 167,682 | $5.32 | $0.00 | $89.94 |
| 90999 | Unlisted dialysis procedure | 158,600 | $565.55 | $0.00 | $9,357.59 |
| 36415 | Coll venous bld venipuncture | 148,236 | $1.93 | $0.00 | $18.74 |
| J1644 | Inj heparin sodium per 1000u | 128,774 | $0.00 | $0.00 | $0.00 |
| 80053 | Comprehen metabolic panel | 118,328 | $6.67 | $0.00 | $394.08 |
| 99284 | Emergency dept visit mod mdm | 97,599 | $327.93 | $0.00 | $2,346.50 |
| 80061 | Lipid panel | 86,405 | $25.74 | $0.00 | $344.29 |
| 83036 | Hemoglobin glycosylated a1c | 84,686 | $8.64 | $0.00 | $15.13 |
| 3008F | Body mass index docd | 79,955 | $0.03 | $0.00 | $2.86 |
| S9999 | Sales tax | 78,411 | $0.01 | $0.00 | $1.78 |
| 99283 | Emergency dept visit low mdm | 70,200 | $530.53 | $0.00 | $1,659.65 |
| S5130 | Homaker service nos per 15m | 67,616 | $103.13 | $16.36 | $1,043.43 |
| 81001 | Urinalysis auto w/scope | 66,886 | $2.29 | $0.00 | $11.47 |
| 3074F | Syst bp lt 130 mm hg | 65,908 | $0.00 | $0.00 | $0.16 |
| 90837 | Psytx w pt 60 minutes | 64,682 | $104.72 | $0.00 | $412.43 |
| H2015 | Comp comm supp svc, 15 min | 63,672 | $28.51 | $0.00 | $448.97 |
| 3078F | Diast bp <80 mm hg | 61,189 | $0.00 | $0.00 | $0.20 |
| H2032 | Activity therapy, per 15 min | 60,585 | $123.71 | $42.69 | $1,936.05 |
| D0120 | Periodic oral evaluation | 60,091 | $30.13 | $2.43 | $38.14 |
| S9122 | Home health aide or certifie | 58,929 | $153.72 | $26.51 | $1,792.84 |
| D1206 | Topical fluoride varnish | 57,107 | $25.54 | $1.18 | $29.38 |
| D1120 | Dental prophylaxis child | 52,004 | $31.75 | $12.83 | $55.00 |
| H2021 | Com wrap-around sv, 15 min | 49,810 | $384.63 | $46.89 | $6,289.73 |
| 99285 | Emergency dept visit hi mdm | 49,807 | $503.49 | $0.00 | $4,521.38 |
| 71045 | X-ray exam chest 1 view | 49,533 | $4.03 | $0.00 | $32.36 |
| D0220 | Intraoral periapical first | 49,304 | $13.23 | $4.80 | $18.57 |
| 80048 | Basic metabolic pnl total ca | 49,162 | $3.93 | $0.00 | $27.06 |
| 84443 | Assay thyroid stim hormone | 46,170 | $20.83 | $0.00 | $83.37 |
| A0100 | Nonemergency transport taxi | 45,972 | $3.68 | $0.00 | $15.00 |
| D0230 | Intraoral periapical ea add | 45,686 | $11.54 | $2.78 | $16.17 |
| G9275 | Doc of non tobacco user | 45,284 | $0.00 | $0.00 | $0.00 |
| 97110 | Therapeutic exercises | 43,275 | $43.35 | $0.00 | $265.65 |
| S0215 | Nonemerg transp mileage | 38,572 | $30.06 | $0.00 | $42.38 |
| 93005 | Electrocardiogram tracing | 36,229 | $6.13 | $0.00 | $111.23 |
| 2001F | Weight record | 36,109 | $0.02 | $0.00 | $2.34 |
| 96160 | Pt-focused hlth risk assmt | 34,077 | $0.51 | $0.00 | $5.22 |
| 82570 | Assay of urine creatinine | 33,008 | $5.14 | $0.00 | $17.77 |
| H2019 | Ther behav svc, per 15 min | 31,812 | $145.32 | $99.45 | $212.55 |
| 80307 | Drug test prsmv chem anlyzr | 31,256 | $48.82 | $0.00 | $523.43 |
| S9088 | Services provided in urgent | 30,398 | $15.16 | $0.00 | $24.87 |
| G8510 | Scr dep neg, no plan reqd | 30,280 | $0.00 | $0.00 | $0.00 |
| 2000F | Blood pressure measure | 30,146 | $0.00 | $0.00 | $0.00 |
| H0020 | Alcohol and/or drug services | 29,665 | $34.47 | $8.52 | $262.50 |
| 87086 | Urine culture/colony count | 29,160 | $5.58 | $0.00 | $21.14 |
| 85018 | Hemoglobin | 28,916 | $0.42 | $0.00 | $19.36 |
| Q4081 | Epoetin alfa, 100 units esrd | 28,605 | $418.08 | $0.00 | $7,066.98 |
| 82043 | Ur albumin quantitative | 28,532 | $8.12 | $0.00 | $32.04 |