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 101–150 of 2,481 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 87651 | Strep a dna amp probe | 137,666 | $25.72 | $0.00 | $50.38 |
| 97535 | Self care mngment training | 137,596 | $16.89 | $0.26 | $44.05 |
| S5199 | Personal care item nos each | 136,367 | $125.34 | $103.98 | $138.11 |
| D2392 | Post 2 srfc resinbased cmpst | 136,179 | $64.72 | $0.00 | $202.28 |
| 85018 | Hemoglobin | 135,756 | $1.35 | $0.00 | $2.56 |
| 99394 | Prev visit est age 12-17 | 133,909 | $35.78 | $0.00 | $131.51 |
| H2010 | Comprehensive med svc 15 min | 132,990 | $49.34 | $16.93 | $1,591.91 |
| 86803 | Hepatitis c ab test | 131,617 | $10.17 | $0.00 | $16.85 |
| 99204 | Office o/p new mod 45 min | 130,930 | $87.00 | $0.00 | $393.35 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 129,110 | $88.90 | $11.19 | $1,513.71 |
| D0140 | Limit oral eval problm focus | 128,867 | $18.47 | $0.00 | $104.87 |
| V2784 | Lens polycarb or equal | 127,157 | $15.57 | $0.00 | $75.00 |
| 81002 | Urinalysis nonauto w/o scope | 125,180 | $1.38 | $0.00 | $4.27 |
| 86901 | Blood typing serologic rh(d) | 123,573 | $1.81 | $0.00 | $6.97 |
| 86900 | Blood typing serologic abo | 123,305 | $1.67 | $0.00 | $9.98 |
| D0272 | Dental bitewings two images | 121,603 | $9.55 | $0.00 | $34.00 |
| G8510 | Scr dep neg, no plan reqd | 121,079 | $2.87 | $0.00 | $47.04 |
| 1159F | Med list docd in rcrd | 120,186 | $0.00 | $0.00 | $0.11 |
| 70450 | Ct head/brain w/o dye | 119,465 | $48.45 | $8.54 | $115.40 |
| T1017 | Targeted case management | 118,554 | $127.46 | $0.00 | $132.19 |
| 87804 | Influenza assay w/optic | 118,364 | $21.34 | $0.00 | $31.97 |
| 87088 | Urine bacteria culture | 118,263 | $6.04 | $0.00 | $11.31 |
| 97530 | Therapeutic activities | 118,170 | $54.87 | $0.00 | $92.17 |
| 90471 | Immunization admin | 116,330 | $0.38 | $0.00 | $23.21 |
| 87811 | Sars-cov-2 covid19 w/optic | 115,723 | $36.33 | $0.00 | $45.52 |
| D1110 | Dental prophylaxis adult | 114,257 | $44.17 | $0.00 | $97.50 |
| 3079F | Diast bp 80-89 mm hg | 113,309 | $0.00 | $0.00 | $0.00 |
| 86592 | Syphilis test non-trep qual | 111,109 | $3.09 | $0.00 | $4.22 |
| 87801 | Detect agnt mult dna ampli | 108,183 | $47.21 | $8.98 | $141.57 |
| 85730 | Thromboplastin time partial | 107,337 | $3.36 | $0.00 | $15.94 |
| 86850 | Rbc antibody screen | 105,878 | $3.48 | $0.00 | $10.08 |
| 99215 | Office o/p est hi 40 min | 105,858 | $71.77 | $0.00 | $300.00 |
| 90834 | Psytx w pt 45 minutes | 104,549 | $41.58 | $0.00 | $196.84 |
| 87070 | Culture othr specimn aerobic | 102,466 | $5.08 | $0.00 | $6.27 |
| 90677 | Pcv20 vaccine im | 102,050 | $24.43 | $0.00 | $291.21 |
| 83550 | Iron binding test | 100,675 | $5.85 | $0.00 | $8.89 |
| 88305 | Tissue exam by pathologist | 100,023 | $40.25 | $0.00 | $155.18 |
| 90833 | Psytx w pt w e/m 30 min | 98,395 | $62.20 | $0.00 | $101.35 |
| 83605 | Assay of lactic acid | 97,872 | $5.24 | $0.00 | $11.17 |
| D7140 | Extraction erupted tooth/exr | 97,426 | $68.88 | $0.00 | $535.99 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | 97,105 | $8.76 | $0.00 | $21.95 |
| 82746 | Assay of folic acid serum | 97,015 | $8.82 | $0.00 | $14.69 |
| 86140 | C-reactive protein | 96,359 | $2.74 | $0.00 | $5.17 |
| 3725F | Screen depression performed | 94,866 | $0.00 | $0.00 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 93,177 | $17.71 | $0.00 | $45.20 |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to | 92,938 | $74.46 | $8.15 | $309.22 |
| 99223 | 1st hosp ip/obs high 75 | 91,586 | $93.83 | $0.00 | $167.45 |
| 82043 | Ur albumin quantitative | 90,090 | $3.25 | $0.00 | $20.82 |
| T4527 | Adult size pull-on lg | 88,989 | $97.79 | $37.91 | $157.66 |
| T1027 | Family training & counseling | 86,692 | $66.12 | $24.99 | $84.23 |