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 101–150 of 2,677 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| D0272 | Dental bitewings two images | 128,901 | $21.47 | $0.00 | $169.39 |
| 74177 | Ct abd & pelvis w/contrast | 127,613 | $338.66 | $22.62 | $2,009.66 |
| 97014 | Electric stimulation therapy | 126,917 | $8.38 | $1.94 | $34.87 |
| 85027 | Complete cbc automated | 125,717 | $5.37 | $0.00 | $47.46 |
| D1351 | Dental sealant per tooth | 125,275 | $23.97 | $0.00 | $219.42 |
| D1110 | Dental prophylaxis adult | 125,234 | $56.51 | $0.00 | $853.27 |
| 99203 | Office o/p new low 30 min | 124,503 | $52.75 | $0.00 | $156.14 |
| 1159F | Med list docd in rcrd | 123,587 | $0.00 | $0.00 | $0.00 |
| 82607 | Vitamin b-12 | 123,027 | $13.58 | $0.01 | $99.11 |
| T1005 | Respite care service 15 min | 122,392 | $97.75 | $33.24 | $956.64 |
| 81025 | Urine pregnancy test | 120,481 | $7.82 | $0.00 | $82.43 |
| 70450 | Ct head/brain w/o dye | 120,172 | $146.41 | $8.88 | $834.43 |
| 97012 | Mechanical traction therapy | 118,551 | $9.41 | $0.00 | $64.12 |
| V2100 | Lens spher single plano 4.00 | 118,046 | $13.98 | $0.00 | $82.65 |
| 96127 | Brief emotional/behav assmt | 116,868 | $3.43 | $0.00 | $15.15 |
| 96365 | Ther/proph/diag iv inf init | 114,873 | $88.55 | $10.11 | $371.00 |
| D1208 | Topical app fluorid ex vrnsh | 111,385 | $17.67 | $0.00 | $25.31 |
| 1160F | Rvw meds by rx/dr in rcrd | 110,700 | $0.00 | $0.00 | $0.00 |
| D7140 | Extraction erupted tooth/exr | 110,436 | $80.44 | $0.00 | $578.59 |
| H0032 | Mh svc plan dev by non-md | 108,545 | $66.95 | $0.00 | $129.84 |
| 87811 | Sars-cov-2 covid19 w/optic | 105,764 | $28.04 | $0.00 | $74.57 |
| 87428 | Sarscov & inf vir a&b ag ia | 105,134 | $31.80 | $0.00 | $73.48 |
| 85610 | Prothrombin time | 103,783 | $4.17 | $0.25 | $49.92 |
| 99309 | Sbsq nf care moderate mdm 30 | 103,264 | $32.40 | $0.00 | $236.87 |
| J2704 | Inj, propofol, 10 mg | 102,609 | $5.91 | $0.00 | $125.14 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, | 102,259 | $9.78 | $0.68 | $33.94 |
| 90833 | Psytx w pt w e/m 30 min | 101,879 | $39.10 | $1.67 | $207.08 |
| A0427 | Als1-emergency | 101,865 | $73.56 | $13.33 | $185.01 |
| D2392 | Post 2 srfc resinbased cmpst | 100,753 | $68.45 | $10.41 | $362.16 |
| 84439 | Assay of free thyroxine | 100,290 | $9.14 | $0.00 | $51.24 |
| 88305 | Tissue exam by pathologist | 99,287 | $66.39 | $0.00 | $251.87 |
| G0482 | Drug test def 15-21 classes | 98,535 | $58.51 | $0.00 | $198.74 |
| 99392 | Prev visit est age 1-4 | 95,838 | $68.14 | $0.00 | $121.14 |
| 99282 | Emergency dept visit sf mdm | 93,801 | $139.76 | $13.12 | $324.07 |
| T1016 | Case management | 93,419 | $139.95 | $40.91 | $150.00 |
| 87491 | Chlmyd trach dna amp probe | 90,486 | $28.54 | $0.00 | $237.52 |
| T1007 | Treatment plan development | 90,437 | $55.36 | $0.00 | $129.84 |
| 87635 | Sars-cov-2 covid-19 amp prb | 89,107 | $39.54 | $0.00 | $113.37 |
| 87591 | N.gonorrhoeae dna amp prob | 88,793 | $27.12 | $0.00 | $98.76 |
| 93306 | Tte w/doppler complete | 88,361 | $197.16 | $0.00 | $1,038.44 |
| 99391 | Per pm reeval est pat infant | 88,352 | $60.32 | $0.00 | $117.13 |
| J7030 | Normal saline solution infus | 87,809 | $6.83 | $0.00 | $37.63 |
| 90471 | Immunization admin | 87,096 | $19.43 | $0.00 | $150.46 |
| D0274 | Bitewings four images | 87,082 | $30.26 | $0.00 | $65.63 |
| 99308 | Sbsq nf care low mdm 20 | 86,005 | $28.06 | $0.00 | $271.42 |
| G2211 | Complex e/m visit add on | 85,385 | $0.63 | $0.00 | $12.24 |
| A7038 | Pos airway pressure filter | 85,198 | $2.83 | $0.00 | $5.84 |
| T1025 | Ped compr care pkg, per diem | 84,727 | $259.92 | $76.09 | $307.38 |
| G0299 | Hhs/hospice of rn ea 15 min | 81,199 | $26.08 | $0.00 | $134.89 |
| 90461 | Im admin each addl component | 80,907 | $30.89 | $0.00 | $97.66 |