Kentucky Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Kentucky, based on 2024 claims data.
2024 Overview
Procedures
2.7K
Total Claims
57.9M
Total Paid
$3.9B
Popular Services
Procedures
Showing 51–100 of 2,677 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 81001 | Urinalysis auto w/scope | 230,594 | $3.74 | $0.00 | $41.50 |
| H0004 | Alcohol and/or drug services | 221,085 | $237.87 | $0.00 | $612.89 |
| 84443 | Assay thyroid stim hormone | 217,881 | $14.41 | $0.00 | $68.39 |
| H2020 | Ther behav svc, per diem | 217,671 | $194.99 | $0.00 | $274.36 |
| D0150 | Comprehensve oral evaluation | 214,884 | $32.44 | $0.00 | $146.38 |
| 1036F | Tobacco non-user | 214,500 | $0.00 | $0.00 | $0.24 |
| 96374 | Ther/proph/diag inj iv push | 208,933 | $55.62 | $3.20 | $234.03 |
| 93005 | Electrocardiogram tracing | 207,348 | $44.27 | $0.00 | $130.65 |
| A0425 | Ground mileage | 206,999 | $24.18 | $0.60 | $327.85 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 205,977 | $44.71 | $0.00 | $89.57 |
| 90853 | Group psychotherapy | 202,556 | $12.23 | $0.00 | $250.67 |
| 92014 | Compre oph exam est pt 1/> | 196,283 | $61.27 | $0.00 | $119.46 |
| D0230 | Intraoral periapical ea add | 187,235 | $8.49 | $0.70 | $132.24 |
| 90460 | Im admin 1st/only component | 186,821 | $38.43 | $0.00 | $106.52 |
| H0035 | Mh partial hosp tx under 24h | 181,829 | $171.31 | $0.00 | $1,518.66 |
| 90834 | Psytx w pt 45 minutes | 178,809 | $60.31 | $0.00 | $128.73 |
| 71046 | X-ray exam chest 2 views | 178,154 | $35.63 | $0.00 | $203.74 |
| 87651 | Strep a dna amp probe | 177,011 | $27.92 | $0.00 | $68.23 |
| D0220 | Intraoral periapical first | 175,925 | $11.32 | $0.00 | $146.30 |
| 80305 | Drug test prsmv dir opt obs | 175,688 | $6.14 | $0.00 | $126.67 |
| 81003 | Urinalysis auto w/o scope | 174,818 | $1.57 | $0.00 | $19.98 |
| 95117 | Immunotherapy injections | 171,203 | $10.86 | $0.18 | $22.90 |
| 92340 | Fit spectacles monofocal | 169,143 | $37.79 | $0.00 | $70.34 |
| 83735 | Assay of magnesium | 168,513 | $7.80 | $0.00 | $113.57 |
| H2034 | A/d halfway house, per diem | 166,192 | $225.29 | $15.08 | $2,012.63 |
| 97140 | Manual therapy 1/> regions | 163,948 | $18.49 | $0.00 | $130.36 |
| V2784 | Lens polycarb or equal | 163,752 | $7.90 | $0.00 | $64.00 |
| 98943 | Chiropract manj xtrspinl 1/> | 162,802 | $14.12 | $0.33 | $19.32 |
| J2405 | Ondansetron hcl injection | 162,735 | $2.91 | $0.00 | $44.46 |
| 99233 | Sbsq hosp ip/obs high 50 | 160,023 | $39.00 | $0.00 | $108.63 |
| 92015 | Determine refractive state | 157,888 | $7.46 | $0.00 | $25.35 |
| 90887 | Interpj/explnaj rslt psyc xm | 153,879 | $69.66 | $0.00 | $129.84 |
| J1885 | Ketorolac tromethamine inj | 148,286 | $3.05 | $0.00 | $32.42 |
| 87426 | Sarscov coronavirus ag ia | 148,043 | $22.44 | $0.00 | $50.54 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 147,540 | $27.07 | $0.00 | $296.90 |
| 80048 | Basic metabolic pnl total ca | 147,324 | $8.67 | $0.00 | $82.78 |
| 3079F | Diast bp 80-89 mm hg | 146,793 | $0.00 | $0.00 | $1.47 |
| 82306 | Vitamin d 25 hydroxy | 145,446 | $21.93 | $0.00 | $278.30 |
| 96361 | Hydrate iv infusion add-on | 145,386 | $58.58 | $2.13 | $323.91 |
| 87086 | Urine culture/colony count | 142,949 | $7.91 | $0.00 | $80.78 |
| 84484 | Assay of troponin quant | 141,464 | $14.71 | $0.00 | $107.78 |
| J1100 | Dexamethasone sodium phos | 139,071 | $2.85 | $0.00 | $42.42 |
| T2022 | Case management, per month | 138,078 | $345.82 | $116.34 | $612.21 |
| 96375 | Tx/pro/dx inj new drug addon | 137,670 | $67.08 | $0.59 | $189.40 |
| D0330 | Panoramic image | 137,232 | $61.99 | $0.00 | $120.00 |
| 2001F | Weight record | 135,349 | $0.00 | $0.00 | $0.00 |
| 97112 | Neuromuscular reeducation | 134,120 | $23.53 | $0.00 | $83.16 |
| 83690 | Assay of lipase | 132,769 | $7.54 | $0.14 | $57.92 |
| T2040 | Financial mgt waiver/15min | 131,708 | $221.24 | $0.00 | $485.69 |
| 99204 | Office o/p new mod 45 min | 130,872 | $73.91 | $0.00 | $157.47 |