Indiana Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Indiana, based on 2024 claims data.
2024 Overview
Procedures
2.2K
Total Claims
40.5M
Total Paid
$2.5B
Popular Services
Procedures
Showing 1–50 of 2,199 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99214 | Office o/p est mod 30 min | 2,196,521 | $75.85 | $0.00 | $256.53 |
| 99213 | Office o/p est low 20 min | 2,196,183 | $60.86 | $0.00 | $260.00 |
| T1015 | Clinic service | 1,584,830 | $19.38 | $0.00 | $504.72 |
| H2014 | Skills train and dev, 15 min | 1,413,068 | $122.66 | $0.00 | $298.38 |
| 99284 | Emergency dept visit mod mdm | 803,224 | $126.16 | $0.00 | $585.19 |
| 36415 | Coll venous bld venipuncture | 677,589 | $4.67 | $0.00 | $60.07 |
| 92507 | Tx sp lang voice comm indiv | 664,653 | $57.03 | $0.00 | $186.77 |
| 97530 | Therapeutic activities | 620,094 | $61.48 | $0.00 | $287.38 |
| T1016 | Case management | 595,083 | $34.82 | $0.00 | $82.91 |
| 85025 | Complete cbc w/auto diff wbc | 591,216 | $4.72 | $0.00 | $474.71 |
| 90837 | Psytx w pt 60 minutes | 578,061 | $92.33 | $0.00 | $266.36 |
| 90834 | Psytx w pt 45 minutes | 555,046 | $74.31 | $0.00 | $218.87 |
| D0120 | Periodic oral evaluation | 517,878 | $26.64 | $0.00 | $33.56 |
| 99600 | Unlisted home visit svc/px | 504,324 | $128.74 | $0.00 | $557.96 |
| 99283 | Emergency dept visit low mdm | 496,237 | $153.84 | $0.58 | $404.73 |
| 3008F | Body mass index docd | 457,824 | $0.00 | $0.00 | $0.00 |
| 99285 | Emergency dept visit hi mdm | 439,454 | $129.44 | $0.00 | $1,104.05 |
| 99199 | Unlisted special svc px/rprt | 437,559 | $6.83 | $2.63 | $11.21 |
| H0010 | Alcohol and/or drug services | 418,855 | $430.31 | $0.00 | $666.41 |
| 90853 | Group psychotherapy | 412,839 | $27.16 | $0.00 | $305.29 |
| D1206 | Topical fluoride varnish | 384,528 | $23.63 | $0.00 | $31.72 |
| 97110 | Therapeutic exercises | 378,725 | $31.74 | $0.00 | $186.46 |
| 80053 | Comprehen metabolic panel | 375,834 | $6.39 | $0.00 | $499.31 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 375,678 | $42.89 | $0.00 | $649.48 |
| 71045 | X-ray exam chest 1 view | 361,617 | $36.70 | $0.00 | $260.91 |
| 99309 | Sbsq nf care moderate mdm 30 | 360,756 | $19.25 | $0.00 | $129.99 |
| 3074F | Syst bp lt 130 mm hg | 341,318 | $0.00 | $0.00 | $0.00 |
| D1120 | Dental prophylaxis child | 328,590 | $41.79 | $0.00 | $63.40 |
| 97153 | Adaptive behavior tx by tech | 323,041 | $336.48 | $0.00 | $1,520.05 |
| D1351 | Dental sealant per tooth | 314,168 | $30.09 | $0.00 | $136.08 |
| A0425 | Ground mileage | 306,913 | $52.08 | $0.00 | $642.14 |
| 93010 | Electrocardiogram report | 303,422 | $5.85 | $0.00 | $11.52 |
| 90471 | Immunization admin | 298,257 | $12.41 | $0.00 | $136.39 |
| 98941 | Chiropract manj 3-4 regions | 296,392 | $28.09 | $0.00 | $38.42 |
| 90832 | Psytx w pt 30 minutes | 293,174 | $47.41 | $0.00 | $175.46 |
| G2067 | Med assist tx meth wk | 287,433 | $203.68 | $0.00 | $255.91 |
| 3078F | Diast bp <80 mm hg | 276,056 | $0.00 | $0.00 | $0.00 |
| D1110 | Dental prophylaxis adult | 267,271 | $54.91 | $0.00 | $66.07 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 257,755 | $44.20 | $0.00 | $121.20 |
| 92015 | Determine refractive state | 239,102 | $16.01 | $0.00 | $125.02 |
| 80305 | Drug test prsmv dir opt obs | 230,148 | $4.89 | $0.00 | $19.19 |
| 1036F | Tobacco non-user | 226,264 | $0.00 | $0.00 | $0.00 |
| 80307 | Drug test prsmv chem anlyzr | 214,842 | $42.69 | $0.00 | $126.43 |
| D0220 | Intraoral periapical first | 209,834 | $12.72 | $0.00 | $18.45 |
| D0230 | Intraoral periapical ea add | 209,334 | $11.31 | $0.00 | $15.43 |
| V2020 | Vision svcs frames purchases | 184,362 | $63.69 | $0.00 | $85.94 |
| 71046 | X-ray exam chest 2 views | 183,489 | $38.62 | $0.00 | $246.57 |
| G0463 | Hospital outpt clinic visit | 182,723 | $103.00 | $0.00 | $384.58 |
| 99308 | Sbsq nf care low mdm 20 | 179,448 | $14.29 | $0.00 | $96.50 |
| 90999 | Unlisted dialysis procedure | 178,433 | $37.61 | $0.00 | $141.06 |