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 51–100 of 2,344 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 81025 | Urine pregnancy test | 238,764 | $4.96 | $0.00 | $25.05 |
| T1001 | Nursing assessment/evaluatn | 236,247 | $10.93 | $2.15 | $18.31 |
| 1036F | Tobacco non-user | 225,487 | $0.00 | $0.00 | $1.49 |
| V2020 | Vision svcs frames purchases | 223,857 | $16.79 | $0.00 | $53.81 |
| D0272 | Dental bitewings two images | 223,037 | $25.21 | $0.00 | $29.01 |
| 99173 | Visual acuity screen | 219,977 | $1.18 | $0.00 | $16.03 |
| D1110 | Dental prophylaxis adult | 218,557 | $52.76 | $0.00 | $106.82 |
| 99204 | Office o/p new mod 45 min | 212,764 | $76.86 | $0.00 | $188.70 |
| 81001 | Urinalysis auto w/scope | 203,940 | $2.10 | $0.00 | $14.67 |
| 99309 | Sbsq nf care moderate mdm 30 | 203,765 | $8.22 | $0.00 | $40.98 |
| 99233 | Sbsq hosp ip/obs high 50 | 201,229 | $46.33 | $0.00 | $232.17 |
| H0015 | Alcohol and/or drug services | 194,542 | $107.42 | $0.00 | $300.37 |
| 81003 | Urinalysis auto w/o scope | 192,468 | $1.15 | $0.00 | $12.27 |
| 92014 | Compre oph exam est pt 1/> | 188,435 | $59.31 | $0.00 | $300.13 |
| D1206 | Topical fluoride varnish | 184,831 | $30.20 | $0.00 | $32.88 |
| 90999 | Unlisted dialysis procedure | 184,126 | $44.25 | $0.00 | $226.88 |
| 1125F | Amnt pain noted pain prsnt | 181,572 | $0.00 | $0.00 | $0.00 |
| 90472 | Immunization admin each add | 181,339 | $10.12 | $0.00 | $26.43 |
| 87651 | Strep a dna amp probe | 179,354 | $24.69 | $0.00 | $66.84 |
| 99203 | Office o/p new low 30 min | 177,360 | $48.58 | $0.00 | $126.37 |
| D1351 | Dental sealant per tooth | 176,363 | $32.57 | $0.00 | $43.45 |
| 93005 | Electrocardiogram tracing | 176,033 | $30.91 | $0.00 | $203.07 |
| 96160 | Pt-focused hlth risk assmt | 175,093 | $0.84 | $0.00 | $26.40 |
| 83036 | Hemoglobin glycosylated a1c | 174,384 | $5.02 | $0.00 | $27.35 |
| 80061 | Lipid panel | 173,315 | $7.90 | $0.00 | $22.78 |
| 92015 | Determine refractive state | 173,006 | $3.95 | $0.00 | $34.60 |
| T2023 | Targeted case mgmt per month | 169,930 | $180.26 | $49.26 | $224.00 |
| H2034 | A/d halfway house, per diem | 166,871 | $54.38 | $28.21 | $563.50 |
| 99215 | Office o/p est hi 40 min | 166,444 | $57.51 | $0.00 | $200.65 |
| 97153 | Adaptive behavior tx by tech | 164,849 | $129.71 | $32.12 | $329.30 |
| 90837 | Psytx w pt 60 minutes | 164,040 | $35.74 | $0.00 | $195.90 |
| A0427 | Als1-emergency | 158,065 | $560.37 | $0.00 | $987.24 |
| 71046 | X-ray exam chest 2 views | 157,385 | $15.34 | $0.00 | $244.19 |
| 96110 | Developmental screen w/score | 150,539 | $6.60 | $0.00 | $17.69 |
| 87491 | Chlmyd trach dna amp probe | 148,174 | $27.29 | $0.00 | $73.27 |
| 87591 | N.gonorrhoeae dna amp prob | 147,496 | $26.88 | $0.00 | $59.65 |
| 99392 | Prev visit est age 1-4 | 147,471 | $50.80 | $0.00 | $97.91 |
| D0220 | Intraoral periapical first | 144,432 | $15.20 | $0.00 | $20.48 |
| 99308 | Sbsq nf care low mdm 20 | 140,948 | $4.26 | $0.00 | $43.80 |
| 99391 | Per pm reeval est pat infant | 140,850 | $47.31 | $0.00 | $98.72 |
| 97112 | Neuromuscular reeducation | 140,347 | $19.45 | $0.00 | $50.79 |
| 87635 | Sars-cov-2 covid-19 amp prb | 136,962 | $29.29 | $0.00 | $72.60 |
| 90832 | Psytx w pt 30 minutes | 133,689 | $4.09 | $0.00 | $274.52 |
| 3075F | Syst bp ge 130 - 139mm hg | 129,252 | $0.01 | $0.00 | $1.07 |
| 3044F | Hg a1c level lt 7.0% | 125,874 | $0.06 | $0.00 | $4.67 |
| D0150 | Comprehensve oral evaluation | 123,502 | $45.88 | $0.00 | $64.13 |
| G2211 | Complex e/m visit add on | 119,817 | $1.06 | $0.00 | $27.72 |
| 99393 | Prev visit est age 5-11 | 117,502 | $47.68 | $0.00 | $102.14 |
| 80307 | Drug test prsmv chem anlyzr | 117,213 | $35.69 | $0.00 | $105.10 |
| 87502 | Influenza dna amp probe | 114,374 | $71.17 | $0.00 | $120.61 |