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 101–150 of 1,441 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| D0274 | Bitewings four images | 17,447 | $35.48 | $13.44 | $56.36 |
| J1885 | Ketorolac tromethamine inj | 17,116 | $0.02 | $0.00 | $0.62 |
| J1756 | Iron sucrose injection | 17,085 | $89.64 | $0.00 | $6,850.38 |
| 84460 | Alanine amino (alt) (sgpt) | 17,075 | $2.98 | $0.00 | $24.56 |
| 83550 | Iron binding test | 16,943 | $4.65 | $0.00 | $10.37 |
| 84550 | Assay of blood/uric acid | 16,547 | $3.00 | $0.00 | $26.68 |
| 90460 | Im admin 1st/only component | 16,491 | $4.98 | $0.00 | $70.28 |
| 96372 | Ther/proph/diag inj sc/im | 16,310 | $4.95 | $0.00 | $51.15 |
| 86803 | Hepatitis c ab test | 16,226 | $41.80 | $0.00 | $132.59 |
| A0427 | Als1-emergency | 16,080 | $196.62 | $153.90 | $262.17 |
| 92014 | Compre oph exam est pt 1/> | 15,990 | $64.48 | $0.00 | $341.73 |
| 84450 | Transferase (ast) (sgot) | 15,554 | $2.02 | $0.00 | $23.33 |
| 81025 | Urine pregnancy test | 15,433 | $6.06 | $0.00 | $234.11 |
| 82306 | Vitamin d 25 hydroxy | 15,286 | $70.82 | $0.00 | $515.20 |
| A9270 | Non-covered item or service | 15,186 | $0.01 | $0.00 | $0.76 |
| 82728 | Assay of ferritin | 15,127 | $11.50 | $0.00 | $61.99 |
| J1100 | Dexamethasone sodium phos | 14,814 | $0.04 | $0.00 | $1.00 |
| G0480 | Drug test def 1-7 classes | 14,549 | $50.15 | $0.00 | $577.08 |
| 87340 | Hepatitis b surface ag ia | 14,484 | $11.19 | $0.00 | $341.75 |
| 84100 | Assay of phosphorus | 14,190 | $0.70 | $0.00 | $4.04 |
| 77067 | Scr mammo bi incl cad | 13,828 | $110.45 | $0.00 | $378.58 |
| 3079F | Diast bp 80-89 mm hg | 13,815 | $0.02 | $0.00 | $6.14 |
| 74177 | Ct abd & pelvis w/contrast | 13,786 | $521.62 | $0.00 | $3,302.17 |
| S9123 | Nursing care in home rn | 13,746 | $221.67 | $38.32 | $452.82 |
| G2211 | Complex e/m visit add on | 13,625 | $6.56 | $0.00 | $16.86 |
| 70450 | Ct head/brain w/o dye | 13,463 | $21.61 | $0.00 | $340.39 |
| T2022 | Case management, per month | 13,412 | $297.65 | $0.00 | $552.92 |
| 87077 | Culture aerobic identify | 13,169 | $7.11 | $0.00 | $13.84 |
| 87070 | Culture othr specimn aerobic | 12,879 | $9.32 | $0.00 | $48.31 |
| J3010 | Fentanyl citrate injection | 12,874 | $0.01 | $0.00 | $0.25 |
| T1015 | Clinic service | 12,636 | $15.81 | $12.92 | $57.45 |
| 80076 | Hepatic function panel | 12,493 | $2.67 | $0.00 | $28.28 |
| 86140 | C-reactive protein | 12,473 | $3.02 | $0.00 | $6.47 |
| 92250 | Fundus photography w/i&r | 12,463 | $32.36 | $0.00 | $159.30 |
| 97112 | Neuromuscular reeducation | 12,418 | $35.87 | $0.00 | $201.65 |
| 82310 | Assay of calcium | 12,242 | $0.37 | $0.00 | $4.41 |
| H0015 | Alcohol and/or drug services | 12,023 | $83.79 | $32.67 | $113.37 |
| 84155 | Assay of protein serum | 11,771 | $0.09 | $0.00 | $2.48 |
| 80050 | General health panel | 11,398 | $30.74 | $24.88 | $33.54 |
| H0023 | Alcohol and/or drug outreach | 11,354 | $0.00 | $0.00 | $0.00 |
| 82607 | Vitamin b-12 | 11,181 | $13.14 | $0.00 | $132.97 |
| 99392 | Prev visit est age 1-4 | 11,165 | $108.68 | $0.00 | $409.96 |
| 84075 | Assay alkaline phosphatase | 11,154 | $1.21 | $0.00 | $21.67 |
| 86592 | Syphilis test non-trep qual | 11,145 | $4.73 | $0.00 | $5.69 |
| T2016 | Habil res waiver per diem | 11,140 | $470.59 | $138.22 | $5,725.60 |
| 99391 | Per pm reeval est pat infant | 11,068 | $131.29 | $0.00 | $409.96 |
| T2021 | Day habil waiver per 15 min | 10,967 | $306.28 | $165.95 | $822.20 |
| 87088 | Urine bacteria culture | 10,929 | $9.81 | $0.00 | $24.13 |
| D2392 | Post 2 srfc resinbased cmpst | 10,856 | $127.02 | $46.41 | $147.55 |
| 87651 | Strep a dna amp probe | 10,687 | $55.75 | $0.00 | $156.23 |