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 101–150 of 2,199 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| D0330 | Panoramic image | 85,062 | $48.43 | $0.00 | $84.86 |
| 84484 | Assay of troponin quant | 84,417 | $8.07 | $0.00 | $60.95 |
| E0562 | Humidifier, heated, used with positive airway pressure device | 83,142 | $34.23 | $0.00 | $155.50 |
| D7140 | Extraction erupted tooth/exr | 79,907 | $116.22 | $0.00 | $168.65 |
| 1160F | Rvw meds by rx/dr in rcrd | 78,653 | $0.00 | $0.00 | $0.00 |
| 92004 | Compre oph exam new pt 1/> | 75,426 | $112.44 | $0.00 | $175.73 |
| 81002 | Urinalysis nonauto w/o scope | 74,485 | $2.43 | $0.00 | $12.97 |
| 99349 | Home/res vst est mod mdm 40 | 74,360 | $35.22 | $0.00 | $111.28 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 72,522 | $53.37 | $0.00 | $89.42 |
| 87651 | Strep a dna amp probe | 71,849 | $25.98 | $0.00 | $40.58 |
| 59425 | Antepartum care only | 71,695 | $70.72 | $0.00 | $286.54 |
| 83690 | Assay of lipase | 71,521 | $4.53 | $0.00 | $35.62 |
| 98943 | Chiropract manj xtrspinl 1/> | 70,799 | $17.22 | $0.00 | $24.88 |
| D2391 | Post 1 srfc resinbased cmpst | 70,370 | $73.17 | $0.00 | $95.47 |
| A7035 | Pos airway press headgear | 70,263 | $14.73 | $1.02 | $21.78 |
| D7210 | Rem imp tooth w mucoper flp | 69,396 | $178.41 | $21.71 | $214.56 |
| T2033 | Res, nos waiver per diem | 68,037 | $89.78 | $79.44 | $98.37 |
| E0570 | Nebulizer, with compressor | 67,942 | $21.70 | $0.09 | $95.64 |
| A7031 | Replacement facemask interfa | 66,900 | $31.89 | $0.00 | $82.97 |
| D2930 | Prefab stnlss steel crwn pri | 66,887 | $146.45 | $0.00 | $228.47 |
| 99393 | Prev visit est age 5-11 | 66,479 | $87.45 | $0.00 | $159.12 |
| 84443 | Assay thyroid stim hormone | 65,335 | $9.99 | $0.00 | $20.36 |
| A0428 | Bls | 65,029 | $112.90 | $0.00 | $362.58 |
| 99223 | 1st hosp ip/obs high 75 | 64,613 | $92.59 | $0.00 | $253.79 |
| 3079F | Diast bp 80-89 mm hg | 63,791 | $0.00 | $0.00 | $0.00 |
| K0001 | Standard wheelchair | 62,241 | $30.55 | $0.00 | $37.30 |
| G0480 | Drug test def 1-7 classes | 61,537 | $60.20 | $0.00 | $121.51 |
| 96372 | Ther/proph/diag inj sc/im | 60,525 | $22.76 | $0.00 | $334.35 |
| 59426 | Antepartum care only | 59,589 | $80.86 | $0.00 | $268.98 |
| 87635 | Sars-cov-2 covid-19 amp prb | 58,426 | $35.84 | $0.00 | $54.95 |
| 96375 | Tx/pro/dx inj new drug addon | 57,975 | $9.59 | $0.00 | $150.29 |
| 97014 | Electric stimulation therapy | 57,862 | $9.12 | $0.00 | $12.52 |
| 93306 | Tte w/doppler complete | 57,277 | $61.28 | $7.49 | $740.67 |
| H0034 | Med trng & support per 15min | 57,013 | $18.56 | $0.00 | $79.65 |
| 99231 | Sbsq hosp ip/obs sf/low 25 | 56,770 | $33.06 | $0.00 | $707.47 |
| 87426 | Sarscov coronavirus ag ia | 55,153 | $24.99 | $0.00 | $40.87 |
| A4604 | Tubing with heating element | 54,652 | $25.44 | $0.25 | $85.92 |
| A7030 | Cpap full face mask | 54,357 | $66.28 | $3.25 | $115.42 |
| H0031 | Mh health assess by non-md | 53,918 | $83.76 | $0.00 | $278.12 |
| 96361 | Hydrate iv infusion add-on | 53,040 | $42.74 | $0.00 | $243.45 |
| 90677 | Pcv20 vaccine im | 51,239 | $5.53 | $0.00 | $268.94 |
| 99282 | Emergency dept visit sf mdm | 51,112 | $157.50 | $6.43 | $297.10 |
| 99239 | Hosp ip/obs dschrg mgmt >30 | 51,049 | $66.84 | $0.00 | $703.61 |
| 90785 | Psytx complex interactive | 50,539 | $6.17 | $0.00 | $131.04 |
| H0038 | Self-help/peer svc per 15min | 50,037 | $40.17 | $0.00 | $159.12 |
| 83735 | Assay of magnesium | 50,012 | $3.72 | $0.00 | $29.20 |
| 97012 | Mechanical traction therapy | 49,979 | $10.25 | $0.00 | $13.88 |
| E1392 | Portable oxygen concentrator, rental | 49,817 | $20.61 | $0.00 | $54.67 |
| 3725F | Screen depression performed | 49,458 | $0.00 | $0.00 | $0.00 |
| 87428 | Sarscov & inf vir a&b ag ia | 48,748 | $32.14 | $0.00 | $63.73 |