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 51–100 of 2,199 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 90472 | Immunization admin each add | 173,821 | $20.49 | $0.00 | $54.94 |
| D0150 | Comprehensve oral evaluation | 169,603 | $44.47 | $0.00 | $53.64 |
| D0272 | Dental bitewings two images | 167,541 | $23.57 | $0.00 | $29.01 |
| 80048 | Basic metabolic pnl total ca | 164,596 | $5.00 | $0.00 | $111.24 |
| 93005 | Electrocardiogram tracing | 161,446 | $77.54 | $0.00 | $171.94 |
| 81001 | Urinalysis auto w/scope | 158,003 | $2.10 | $0.00 | $33.90 |
| 97112 | Neuromuscular reeducation | 156,054 | $26.91 | $0.00 | $184.02 |
| 92508 | Tx sp lang voice comm group | 154,891 | $15.86 | $0.00 | $22.77 |
| D0274 | Bitewings four images | 146,370 | $31.18 | $0.00 | $39.30 |
| G2211 | Complex e/m visit add on | 139,196 | $0.04 | $0.00 | $2.70 |
| 99212 | Office o/p est sf 10 min | 138,139 | $50.20 | $0.00 | $269.69 |
| 99233 | Sbsq hosp ip/obs high 50 | 133,348 | $64.34 | $0.00 | $233.36 |
| A7038 | Pos airway pressure filter | 133,286 | $5.03 | $0.00 | $15.81 |
| 97140 | Manual therapy 1/> regions | 132,505 | $20.95 | $0.00 | $149.83 |
| 92014 | Compre oph exam est pt 1/> | 132,458 | $92.19 | $0.00 | $149.08 |
| 96374 | Ther/proph/diag inj iv push | 132,350 | $23.67 | $0.00 | $197.08 |
| D1354 | Int caries med app per tooth | 131,600 | $30.96 | $0.83 | $48.28 |
| G0299 | Hhs/hospice of rn ea 15 min | 129,433 | $0.36 | $0.00 | $49.67 |
| 87804 | Influenza assay w/optic | 128,302 | $15.31 | $0.00 | $33.46 |
| 99204 | Office o/p new mod 45 min | 127,583 | $109.95 | $0.00 | $250.00 |
| 99203 | Office o/p new low 30 min | 122,911 | $73.71 | $0.00 | $260.00 |
| 83036 | Hemoglobin glycosylated a1c | 122,840 | $5.23 | $0.00 | $14.57 |
| 87880 | Strep a assay w/optic | 121,650 | $12.23 | $0.00 | $21.15 |
| 74177 | Ct abd & pelvis w/contrast | 121,064 | $112.55 | $0.00 | $643.04 |
| D2392 | Post 2 srfc resinbased cmpst | 120,531 | $92.15 | $0.00 | $121.71 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, | 120,329 | $10.21 | $0.00 | $24.58 |
| A0429 | Bls-emergency | 120,211 | $249.70 | $0.00 | $408.77 |
| 70450 | Ct head/brain w/o dye | 118,009 | $41.03 | $0.00 | $284.78 |
| 97129 | Ther ivntj 1st 15 min | 115,800 | $15.00 | $0.00 | $16.90 |
| 97130 | Ther ivntj ea addl 15 min | 114,476 | $43.83 | $0.00 | $48.88 |
| D0140 | Limit oral eval problm focus | 113,027 | $36.01 | $0.00 | $56.00 |
| 99391 | Per pm reeval est pat infant | 109,837 | $82.65 | $0.00 | $159.12 |
| 99392 | Prev visit est age 1-4 | 108,624 | $89.20 | $0.00 | $159.12 |
| 97155 | Adapt behavior tx phys/qhp | 108,393 | $147.67 | $0.00 | $515.36 |
| 90791 | Psych diagnostic evaluation | 107,986 | $102.52 | $0.00 | $285.05 |
| G0156 | Hhcp-svs of aide,ea 15 min | 105,317 | $0.07 | $0.00 | $10.72 |
| 96127 | Brief emotional/behav assmt | 104,597 | $3.61 | $0.00 | $150.28 |
| D0210 | Intraor comprehensive series | 103,573 | $32.25 | $0.00 | $79.76 |
| 1159F | Med list docd in rcrd | 99,696 | $0.00 | $0.00 | $0.00 |
| E0601 | Continuous positive airway pressure (cpap) device | 98,919 | $67.79 | $2.66 | $476.10 |
| S5125 | Attendant care service /15m | 98,401 | $178.08 | $0.00 | $8,804.75 |
| D1208 | Topical app fluorid ex vrnsh | 97,691 | $23.22 | $0.00 | $29.48 |
| D9230 | Analgesia | 96,973 | $31.34 | $0.00 | $84.56 |
| 99215 | Office o/p est hi 40 min | 94,938 | $109.29 | $0.00 | $243.77 |
| 80061 | Lipid panel | 94,557 | $8.08 | $0.00 | $196.80 |
| 81025 | Urine pregnancy test | 90,686 | $6.03 | $0.00 | $21.79 |
| 81003 | Urinalysis auto w/o scope | 90,336 | $1.43 | $0.00 | $17.76 |
| 88305 | Tissue exam by pathologist | 90,265 | $56.60 | $0.00 | $1,215.46 |
| A0427 | Als1-emergency | 89,381 | $280.85 | $0.00 | $507.96 |
| D9999 | Adjunctive procedure | 86,096 | $17.80 | $0.00 | $556.72 |