Louisiana Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Louisiana, based on 2024 claims data.
2024 Overview
Procedures
2.3K
Total Claims
60.6M
Total Paid
$3.1B
Popular Services
Procedures
Showing 1–50 of 2,344 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| S5125 | Attendant care service /15m | 3,931,698 | $150.14 | $0.00 | $3,103.68 |
| 99213 | Office o/p est low 20 min | 3,352,162 | $25.69 | $0.00 | $126.45 |
| 99214 | Office o/p est mod 30 min | 2,577,307 | $42.73 | $0.00 | $143.90 |
| T1019 | Personal care ser per 15 min | 2,043,592 | $85.83 | $13.77 | $1,729.78 |
| T1015 | Clinic service | 1,866,511 | $130.05 | $0.00 | $674.06 |
| T2003 | N-et; encounter/trip | 1,434,198 | $40.11 | $0.00 | $399.84 |
| H0020 | Alcohol and/or drug services | 1,153,867 | $14.64 | $8.92 | $19.86 |
| 1159F | Med list docd in rcrd | 1,142,308 | $0.00 | $0.00 | $0.92 |
| 3008F | Body mass index docd | 1,089,523 | $0.00 | $0.00 | $4.57 |
| 99284 | Emergency dept visit mod mdm | 959,329 | $123.74 | $0.00 | $919.17 |
| 1160F | Rvw meds by rx/dr in rcrd | 882,657 | $0.00 | $0.00 | $0.46 |
| 36415 | Coll venous bld venipuncture | 858,231 | $1.78 | $0.00 | $94.26 |
| H2036 | A/d tx program, per diem | 833,733 | $131.81 | $0.00 | $722.51 |
| 3074F | Syst bp lt 130 mm hg | 759,378 | $0.01 | $0.00 | $5.33 |
| 3078F | Diast bp <80 mm hg | 675,458 | $0.00 | $0.00 | $2.45 |
| 85025 | Complete cbc w/auto diff wbc | 665,775 | $4.66 | $0.00 | $145.24 |
| H2017 | Psysoc rehab svc, per 15 min | 649,518 | $74.38 | $0.00 | $446.39 |
| 80053 | Comprehen metabolic panel | 604,385 | $6.49 | $0.00 | $142.54 |
| H0036 | Comm psy face-face per 15min | 591,898 | $79.81 | $0.00 | $341.01 |
| S5110 | Family homecare training 15m | 565,260 | $5.53 | $3.12 | $8.20 |
| 99212 | Office o/p est sf 10 min | 548,191 | $18.58 | $0.00 | $63.09 |
| 87804 | Influenza assay w/optic | 534,633 | $8.15 | $0.00 | $32.45 |
| 99285 | Emergency dept visit hi mdm | 497,488 | $151.33 | $0.00 | $1,080.54 |
| 92508 | Tx sp lang voice comm group | 491,604 | $8.23 | $0.00 | $25.13 |
| 99283 | Emergency dept visit low mdm | 450,632 | $142.74 | $0.00 | $786.11 |
| 92507 | Tx sp lang voice comm indiv | 443,807 | $42.69 | $0.00 | $107.07 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 441,914 | $30.54 | $0.00 | $211.73 |
| 71045 | X-ray exam chest 1 view | 433,481 | $10.92 | $0.00 | $162.00 |
| D0120 | Periodic oral evaluation | 415,295 | $32.71 | $0.00 | $36.88 |
| 97530 | Therapeutic activities | 410,703 | $44.09 | $0.00 | $107.08 |
| H2020 | Ther behav svc, per diem | 401,149 | $123.99 | $0.00 | $324.81 |
| 1126F | Amnt pain noted none prsnt | 400,808 | $0.00 | $0.00 | $0.04 |
| 97110 | Therapeutic exercises | 365,067 | $40.08 | $0.00 | $107.08 |
| 93010 | Electrocardiogram report | 357,885 | $4.66 | $0.00 | $13.50 |
| A0425 | Ground mileage | 329,294 | $105.27 | $0.00 | $433.67 |
| D1120 | Dental prophylaxis child | 315,398 | $42.82 | $0.00 | $60.13 |
| 90471 | Immunization admin | 306,231 | $9.43 | $0.00 | $26.97 |
| 87880 | Strep a assay w/optic | 306,127 | $7.80 | $0.00 | $22.80 |
| 87798 | Detect agent nos dna amp | 295,513 | $25.36 | $0.00 | $367.44 |
| 96372 | Ther/proph/diag inj sc/im | 290,658 | $10.28 | $0.00 | $211.53 |
| H0038 | Self-help/peer svc per 15min | 287,932 | $5.75 | $0.00 | $33.83 |
| T2021 | Day habil waiver per 15 min | 278,874 | $57.45 | $26.83 | $284.46 |
| 87811 | Sars-cov-2 covid19 w/optic | 276,037 | $19.16 | $0.00 | $36.78 |
| 3079F | Diast bp 80-89 mm hg | 263,104 | $0.01 | $0.00 | $2.41 |
| 96127 | Brief emotional/behav assmt | 262,901 | $0.92 | $0.00 | $46.20 |
| 1033F | Tobacco nonsmoker nor 2ndhnd | 260,142 | $0.00 | $0.00 | $2.28 |
| T2002 | N-et; per diem | 258,401 | $24.00 | $10.46 | $337.78 |
| D1208 | Topical app fluorid ex vrnsh | 257,202 | $24.15 | $0.00 | $26.40 |
| T2016 | Habil res waiver per diem | 240,359 | $33.26 | $0.00 | $650.00 |
| 92551 | Pure tone hearing test air | 239,049 | $6.69 | $0.00 | $120.23 |