Illinois Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Illinois, based on 2024 claims data.
2024 Overview
Procedures
2.5K
Total Claims
62.0M
Total Paid
$3.3B
Popular Services
Procedures
Showing 51–100 of 2,481 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| T1021 | Hh aide or cn aide per visit | 261,860 | $28.82 | $2.49 | $100.59 |
| T1502 | Medication admin visit | 252,617 | $11.69 | $1.01 | $55.26 |
| 96127 | Brief emotional/behav assmt | 251,224 | $8.63 | $0.00 | $59.35 |
| 92014 | Compre oph exam est pt 1/> | 248,254 | $43.00 | $0.00 | $113.77 |
| 82306 | Vitamin d 25 hydroxy | 245,147 | $15.85 | $0.00 | $29.60 |
| T2003 | N-et; encounter/trip | 240,244 | $21.23 | $1.14 | $36.26 |
| 90832 | Psytx w pt 30 minutes | 237,331 | $36.65 | $0.00 | $308.55 |
| 87880 | Strep a assay w/optic | 229,834 | $10.75 | $0.00 | $17.79 |
| T4541 | Large disposable underpad | 228,857 | $54.73 | $0.00 | $74.74 |
| 97110 | Therapeutic exercises | 222,889 | $38.49 | $0.00 | $176.58 |
| D0150 | Comprehensve oral evaluation | 221,562 | $23.54 | $0.00 | $61.68 |
| A4927 | Non-sterile gloves | 220,570 | $11.33 | $4.49 | $19.12 |
| 81025 | Urine pregnancy test | 219,126 | $2.50 | $0.00 | $9.11 |
| 99392 | Prev visit est age 1-4 | 215,117 | $40.60 | $0.00 | $126.69 |
| H2016 | Comp comm supp svc, per diem | 206,497 | $144.15 | $89.22 | $499.87 |
| 87661 | Trichomonas vaginalis amplif | 201,654 | $23.10 | $0.00 | $35.09 |
| 84100 | Assay of phosphorus | 196,548 | $2.16 | $0.00 | $4.67 |
| 99283 | Emergency dept visit low mdm | 195,673 | $51.07 | $23.25 | $155.32 |
| 99391 | Per pm reeval est pat infant | 194,637 | $35.54 | $0.00 | $125.60 |
| A0427 | Als1-emergency | 194,130 | $1,435.13 | $86.91 | $5,257.90 |
| 96110 | Developmental screen w/score | 193,809 | $12.37 | $0.00 | $34.03 |
| D0999 | Unspecified diagnostic proce | 188,693 | $139.77 | $0.00 | $155.51 |
| 81003 | Urinalysis auto w/o scope | 188,618 | $1.23 | $0.00 | $9.63 |
| 84484 | Assay of troponin quant | 187,371 | $4.85 | $0.00 | $9.07 |
| 71046 | X-ray exam chest 2 views | 183,815 | $7.51 | $0.00 | $43.03 |
| 99173 | Visual acuity screen | 183,787 | $4.02 | $0.00 | $8.28 |
| T1002 | Rn services up to 15 minutes | 181,234 | $76.09 | $2.89 | $729.00 |
| T1040 | Comm bh clinic svc per diem | 180,854 | $73.24 | $13.99 | $234.43 |
| 92340 | Fit spectacles monofocal | 178,696 | $27.42 | $0.00 | $36.83 |
| 99393 | Prev visit est age 5-11 | 174,877 | $35.04 | $0.00 | $133.76 |
| 87389 | Hiv-1 ag w/hiv-1&-2 ab ag ia | 174,614 | $26.73 | $0.00 | $81.80 |
| T4535 | Disposable liner/shield/pad | 173,596 | $41.70 | $10.69 | $61.39 |
| 82962 | Glucose blood test | 173,192 | $1.52 | $0.00 | $3.46 |
| 85610 | Prothrombin time | 172,981 | $2.13 | $0.00 | $5.84 |
| A0429 | Bls-emergency | 171,362 | $1,232.52 | $45.33 | $5,463.18 |
| H0039 | Asser com tx face-face/15min | 168,727 | $164.31 | $88.15 | $386.93 |
| 83690 | Assay of lipase | 167,732 | $3.53 | $0.00 | $13.56 |
| 1036F | Tobacco non-user | 166,488 | $0.00 | $0.00 | $0.00 |
| V2020 | Vision svcs frames purchases | 159,215 | $23.68 | $0.00 | $80.21 |
| 82607 | Vitamin b-12 | 154,000 | $8.58 | $0.00 | $15.05 |
| 87637 | Sarscov2&inf a&b&rsv amp prb | 152,738 | $122.73 | $0.00 | $142.63 |
| 82728 | Assay of ferritin | 151,963 | $7.30 | $0.00 | $13.60 |
| 92551 | Pure tone hearing test air | 151,789 | $8.20 | $0.00 | $16.15 |
| 84439 | Assay of free thyroxine | 147,706 | $6.09 | $0.00 | $9.13 |
| 92004 | Compre oph exam new pt 1/> | 146,482 | $50.38 | $0.00 | $128.39 |
| 82570 | Assay of urine creatinine | 144,425 | $3.14 | $0.00 | $20.82 |
| 1160F | Rvw meds by rx/dr in rcrd | 143,794 | $0.00 | $0.00 | $0.71 |
| 83540 | Assay of iron | 140,140 | $4.46 | $0.00 | $8.53 |
| A0428 | Bls | 139,777 | $211.69 | $33.87 | $358.05 |
| 99203 | Office o/p new low 30 min | 138,420 | $45.71 | $0.00 | $400.00 |