Idaho Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Idaho, based on 2024 claims data.
2024 Overview
Procedures
1.1K
Total Claims
8.0M
Total Paid
$538.1M
Popular Services
Procedures
Showing 1–50 of 1,052 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| S5170 | Homedelivered prepared meal | 564,393 | $28.68 | $23.63 | $196.21 |
| H0004 | Alcohol and/or drug services | 363,357 | $148.91 | $0.00 | $1,100.70 |
| T1019 | Personal care ser per 15 min | 354,612 | $81.52 | $3.38 | $497.96 |
| 99213 | Office o/p est low 20 min | 337,262 | $48.14 | $-0.03 | $136.94 |
| 99214 | Office o/p est mod 30 min | 278,538 | $66.64 | $-2.76 | $157.39 |
| 97530 | Therapeutic activities | 256,194 | $59.91 | $2.37 | $133.77 |
| 97537 | Community/work reintegration | 246,351 | $31.05 | $20.96 | $90.26 |
| T1015 | Clinic service | 242,968 | $228.02 | $0.00 | $719.00 |
| S5130 | Homaker service nos per 15m | 239,279 | $28.32 | $0.00 | $112.55 |
| 92507 | Tx sp lang voice comm indiv | 197,848 | $45.67 | $0.00 | $330.60 |
| H2032 | Activity therapy, per 15 min | 178,144 | $55.62 | $16.46 | $243.85 |
| S5125 | Attendant care service /15m | 156,638 | $136.12 | $14.09 | $481.91 |
| G9002 | Mccd,maintenance rate | 142,754 | $55.47 | $23.78 | $172.64 |
| H2014 | Skills train and dev, 15 min | 138,596 | $66.18 | $0.00 | $777.39 |
| D0230 | Intraoral periapical ea add | 129,436 | $0.26 | $-9.73 | $35.74 |
| S5100 | Adult daycare services 15min | 114,648 | $34.68 | $7.37 | $119.14 |
| D0120 | Periodic oral evaluation | 101,987 | $1.30 | $-5.62 | $39.00 |
| 97110 | Therapeutic exercises | 97,705 | $29.09 | $0.00 | $90.23 |
| 90834 | Psytx w pt 45 minutes | 96,814 | $74.42 | $0.00 | $97.76 |
| D1351 | Dental sealant per tooth | 94,605 | $2.46 | $0.00 | $92.23 |
| D0220 | Intraoral periapical first | 89,439 | $0.59 | $-7.19 | $30.22 |
| H2017 | Psysoc rehab svc, per 15 min | 85,194 | $112.97 | $0.00 | $342.54 |
| D1206 | Topical fluoride varnish | 84,984 | $0.67 | $-24.79 | $96.30 |
| T1017 | Targeted case management | 81,542 | $68.51 | $0.00 | $250.12 |
| 92508 | Tx sp lang voice comm group | 78,324 | $7.50 | $0.00 | $19.56 |
| D1120 | Dental prophylaxis child | 73,877 | $70.02 | $0.00 | $129.53 |
| 97112 | Neuromuscular reeducation | 67,653 | $37.58 | $0.00 | $108.30 |
| 3074F | Syst bp lt 130 mm hg | 58,591 | $0.00 | $0.00 | $2.53 |
| 36415 | Coll venous bld venipuncture | 56,719 | $3.47 | $0.00 | $17.16 |
| 97140 | Manual therapy 1/> regions | 55,817 | $23.24 | $0.00 | $63.29 |
| 99284 | Emergency dept visit mod mdm | 55,508 | $81.79 | $8.88 | $254.44 |
| 3008F | Body mass index docd | 55,046 | $0.00 | $0.00 | $0.12 |
| H0005 | Alcohol and/or drug services | 54,522 | $72.07 | $28.41 | $117.74 |
| H0038 | Self-help/peer svc per 15min | 53,835 | $99.23 | $0.00 | $207.64 |
| D0272 | Dental bitewings two images | 49,070 | $0.84 | $-0.43 | $28.28 |
| T2021 | Day habil waiver per 15 min | 46,796 | $120.04 | $116.75 | $123.11 |
| D1110 | Dental prophylaxis adult | 46,050 | $86.29 | $0.00 | $217.32 |
| 1159F | Med list docd in rcrd | 45,418 | $0.00 | $0.00 | $5.43 |
| 3078F | Diast bp <80 mm hg | 43,802 | $0.00 | $0.00 | $0.80 |
| D0274 | Bitewings four images | 40,030 | $4.03 | $0.00 | $157.65 |
| 71045 | X-ray exam chest 1 view | 38,364 | $5.13 | $0.00 | $10.54 |
| 93010 | Electrocardiogram report | 38,128 | $5.10 | $0.71 | $7.07 |
| T2016 | Habil res waiver per diem | 37,597 | $500.09 | $466.58 | $523.60 |
| 90837 | Psytx w pt 60 minutes | 37,042 | $93.71 | $0.00 | $221.59 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 36,034 | $65.84 | $15.46 | $142.62 |
| H2022 | Com wrap-around sv, per diem | 35,288 | $855.93 | $367.25 | $12,552.88 |
| 85025 | Complete cbc w/auto diff wbc | 33,958 | $3.09 | $0.00 | $47.67 |
| T1013 | Sign lang/oral interpreter | 32,629 | $81.51 | $2.92 | $128.27 |
| D2392 | Post 2 srfc resinbased cmpst | 32,604 | $74.50 | $-8.58 | $305.47 |
| 90471 | Immunization admin | 31,600 | $12.12 | $0.00 | $17.56 |