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 51–100 of 1,052 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| G0463 | Hospital outpt clinic visit | 31,126 | $5.73 | $0.00 | $59.88 |
| 99285 | Emergency dept visit hi mdm | 31,044 | $108.58 | $10.56 | $377.54 |
| 80053 | Comprehen metabolic panel | 30,566 | $4.37 | $0.00 | $37.86 |
| D0999 | Unspecified diagnostic proce | 27,876 | $301.69 | $31.26 | $719.00 |
| T2017 | Habil res waiver 15 min | 27,680 | $104.96 | $102.70 | $108.59 |
| D9230 | Analgesia | 26,383 | $0.86 | $-8.01 | $70.00 |
| S5150 | Unskilled respite care /15m | 25,301 | $106.87 | $44.12 | $183.83 |
| A0120 | Noner transport mini-bus | 25,143 | $31.08 | $30.00 | $32.54 |
| A0425 | Ground mileage | 24,297 | $47.52 | $1.03 | $1,234.43 |
| 1160F | Rvw meds by rx/dr in rcrd | 23,902 | $0.00 | $0.00 | $0.36 |
| 99412 | Preventive counseling group | 23,815 | $33.93 | $11.10 | $77.01 |
| 98941 | Chiropract manj 3-4 regions | 23,068 | $30.56 | $0.00 | $41.14 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 23,041 | $51.66 | $14.01 | $70.23 |
| A7038 | Pos airway pressure filter | 22,143 | $5.58 | $0.37 | $8.04 |
| D1208 | Topical app fluorid ex vrnsh | 21,636 | $1.00 | $-5.84 | $19.29 |
| 92340 | Fit spectacles monofocal | 21,035 | $23.11 | $0.00 | $23.62 |
| 1036F | Tobacco non-user | 20,352 | $0.00 | $0.00 | $0.37 |
| D0150 | Comprehensve oral evaluation | 20,291 | $35.92 | $0.00 | $144.25 |
| G2211 | Complex e/m visit add on | 19,778 | $12.45 | $-0.47 | $19.60 |
| 92015 | Determine refractive state | 19,600 | $1.28 | $-0.68 | $16.32 |
| 90833 | Psytx w pt w e/m 30 min | 19,532 | $40.77 | $0.00 | $116.91 |
| 92014 | Compre oph exam est pt 1/> | 19,097 | $89.01 | $0.00 | $109.70 |
| A0100 | Nonemergency transport taxi | 19,054 | $40.55 | $6.89 | $197.25 |
| 99215 | Office o/p est hi 40 min | 18,856 | $104.15 | $0.00 | $184.72 |
| 96127 | Brief emotional/behav assmt | 18,027 | $2.21 | $0.00 | $9.33 |
| 99203 | Office o/p new low 30 min | 18,004 | $82.72 | $0.00 | $113.52 |
| 99391 | Per pm reeval est pat infant | 17,893 | $67.20 | $0.00 | $100.38 |
| D0330 | Panoramic image | 17,664 | $57.21 | $0.00 | $199.27 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, | 17,639 | $11.89 | $0.00 | $22.89 |
| 90785 | Psytx complex interactive | 17,541 | $3.94 | $0.00 | $12.00 |
| 99283 | Emergency dept visit low mdm | 17,473 | $55.00 | $0.00 | $172.22 |
| G9007 | Mccd, sch team conf | 17,430 | $152.04 | $55.59 | $1,048.32 |
| 74177 | Ct abd & pelvis w/contrast | 16,451 | $61.52 | $0.00 | $209.94 |
| 2001F | Weight record | 16,427 | $0.00 | $0.00 | $0.00 |
| D2930 | Prefab stnlss steel crwn pri | 16,333 | $126.99 | $0.00 | $698.33 |
| D0140 | Limit oral eval problm focus | 16,136 | $20.64 | $-1.18 | $113.08 |
| D7140 | Extraction erupted tooth/exr | 16,131 | $43.87 | $0.00 | $188.28 |
| 99392 | Prev visit est age 1-4 | 15,790 | $76.19 | $0.00 | $108.86 |
| D2391 | Post 1 srfc resinbased cmpst | 15,670 | $48.33 | $-13.90 | $204.14 |
| 3079F | Diast bp 80-89 mm hg | 15,608 | $0.00 | $0.00 | $0.09 |
| 90460 | Im admin 1st/only component | 15,086 | $35.42 | $0.00 | $103.18 |
| S5161 | Emer rspns sys serv permonth | 14,872 | $36.72 | $0.00 | $38.25 |
| 90472 | Immunization admin each add | 14,172 | $14.44 | $0.00 | $42.61 |
| H0015 | Alcohol and/or drug services | 14,134 | $133.99 | $123.71 | $136.11 |
| 99309 | Sbsq nf care moderate mdm 30 | 14,110 | $37.14 | $7.42 | $85.37 |
| 88305 | Tissue exam by pathologist | 14,017 | $57.46 | $0.00 | $145.22 |
| H2015 | Comp comm supp svc, 15 min | 13,636 | $110.07 | $21.72 | $176.03 |
| A0080 | Noninterest escort in non er | 13,267 | $3.99 | $0.00 | $32.82 |
| A7031 | Replacement facemask interfa | 13,121 | $42.04 | $6.98 | $85.34 |
| G2067 | Med assist tx meth wk | 12,841 | $186.58 | $185.64 | $186.74 |