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 101–150 of 1,052 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99349 | Home/res vst est mod mdm 40 | 12,292 | $47.28 | $0.00 | $101.46 |
| H0035 | Mh partial hosp tx under 24h | 12,204 | $403.41 | $400.03 | $408.89 |
| A0427 | Als1-emergency | 11,850 | $264.25 | $46.28 | $460.76 |
| 83036 | Hemoglobin glycosylated a1c | 11,838 | $5.18 | $0.00 | $23.50 |
| 97010 | Hot or cold packs therapy | 11,827 | $0.01 | $0.00 | $1.49 |
| D1354 | Int caries med app per tooth | 11,268 | $2.51 | $0.00 | $22.28 |
| 97014 | Electric stimulation therapy | 11,265 | $11.64 | $1.70 | $13.50 |
| 84443 | Assay thyroid stim hormone | 10,581 | $11.13 | $0.00 | $46.50 |
| 99393 | Prev visit est age 5-11 | 10,458 | $76.88 | $0.00 | $109.79 |
| 95117 | Immunotherapy injections | 10,406 | $8.44 | $4.89 | $9.77 |
| E0601 | Continuous positive airway pressure (cpap) device | 10,367 | $55.05 | $4.08 | $91.77 |
| 99204 | Office o/p new mod 45 min | 10,119 | $124.66 | $0.00 | $155.39 |
| A4604 | Tubing with heating element | 10,114 | $38.18 | $2.41 | $58.94 |
| H2019 | Ther behav svc, per 15 min | 10,111 | $60.40 | $0.00 | $252.37 |
| 70450 | Ct head/brain w/o dye | 10,082 | $26.63 | $0.00 | $113.41 |
| 71046 | X-ray exam chest 2 views | 9,735 | $7.38 | $0.00 | $27.57 |
| 92526 | Oral function therapy | 9,410 | $53.59 | $0.00 | $72.36 |
| 90999 | Unlisted dialysis procedure | 9,180 | $22.22 | $0.00 | $133.40 |
| G8752 | Sys bp less 140 | 8,827 | $0.00 | $0.00 | $0.00 |
| G8754 | Dias bp less 90 | 8,740 | $0.00 | $0.00 | $0.00 |
| A0429 | Bls-emergency | 8,681 | $217.15 | $36.12 | $364.35 |
| A4927 | Non-sterile gloves | 8,546 | $17.52 | $7.50 | $30.36 |
| 80305 | Drug test prsmv dir opt obs | 8,531 | $9.28 | $0.00 | $12.47 |
| H2016 | Comp comm supp svc, per diem | 8,418 | $2,408.32 | $756.48 | $6,402.06 |
| H0020 | Alcohol and/or drug services | 8,127 | $0.00 | $0.00 | $0.00 |
| D7210 | Rem imp tooth w mucoper flp | 8,025 | $142.32 | $0.00 | $226.27 |
| 99233 | Sbsq hosp ip/obs high 50 | 7,942 | $73.34 | $27.68 | $99.83 |
| A4657 | Syringe w/wo needle | 7,676 | $0.01 | $0.00 | $0.40 |
| D0210 | Intraor comprehensive series | 7,563 | $127.96 | $0.00 | $316.45 |
| G0299 | Hhs/hospice of rn ea 15 min | 7,554 | $0.00 | $0.00 | $0.00 |
| 87651 | Strep a dna amp probe | 7,461 | $29.87 | $0.00 | $33.13 |
| 90461 | Im admin each addl component | 7,354 | $25.54 | $0.00 | $44.13 |
| A7030 | Cpap full face mask | 7,347 | $102.21 | $24.98 | $146.80 |
| T4541 | Large disposable underpad | 7,277 | $25.48 | $12.86 | $37.51 |
| E1392 | Portable oxygen concentrator, rental | 7,007 | $15.12 | $2.65 | $41.28 |
| 90832 | Psytx w pt 30 minutes | 7,002 | $31.91 | $0.00 | $65.73 |
| G8427 | Docrev cur meds by elig clin | 6,958 | $0.00 | $0.00 | $0.13 |
| 92004 | Compre oph exam new pt 1/> | 6,903 | $99.91 | $0.00 | $128.71 |
| A7035 | Pos airway press headgear | 6,810 | $20.32 | $1.12 | $31.94 |
| 80061 | Lipid panel | 6,731 | $8.76 | $0.00 | $22.00 |
| H0032 | Mh svc plan dev by non-md | 6,631 | $97.04 | $0.00 | $654.19 |
| E0570 | Nebulizer, with compressor | 6,523 | $13.31 | $1.24 | $74.39 |
| T2002 | N-et; per diem | 6,159 | $9.01 | $0.97 | $35.75 |
| 81001 | Urinalysis auto w/scope | 6,121 | $0.51 | $0.00 | $7.59 |
| 99212 | Office o/p est sf 10 min | 6,088 | $33.04 | $0.00 | $93.74 |
| 87880 | Strep a assay w/optic | 5,814 | $10.51 | $0.00 | $14.88 |
| T4535 | Disposable liner/shield/pad | 5,801 | $37.35 | $18.13 | $51.16 |
| 90677 | Pcv20 vaccine im | 5,798 | $2.63 | $0.00 | $77.18 |
| T1001 | Nursing assessment/evaluatn | 5,794 | $83.48 | $41.31 | $349.71 |
| 96372 | Ther/proph/diag inj sc/im | 5,743 | $5.61 | $0.00 | $18.97 |