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 101–150 of 2,344 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99211 | Off/op est may x req phy/qhp | 113,374 | $16.51 | $0.00 | $67.12 |
| 1031F | Smoking & 2nd hand assessed | 112,948 | $0.00 | $0.00 | $0.02 |
| 4010F | Ace/arb therapy rxd/taken | 110,752 | $0.00 | $0.00 | $0.00 |
| 92340 | Fit spectacles monofocal | 106,684 | $10.53 | $0.00 | $28.00 |
| 70450 | Ct head/brain w/o dye | 105,981 | $60.33 | $0.00 | $1,040.29 |
| 1170F | Fxnl status assessed | 103,520 | $0.00 | $0.00 | $0.00 |
| 87426 | Sarscov coronavirus ag ia | 101,444 | $18.81 | $0.00 | $39.35 |
| 96374 | Ther/proph/diag inj iv push | 99,900 | $41.56 | $0.00 | $314.59 |
| S9124 | Nursing care, in the home; b | 99,561 | $176.68 | $20.32 | $463.87 |
| 81002 | Urinalysis nonauto w/o scope | 99,286 | $1.39 | $0.00 | $9.58 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 98,872 | $17.12 | $0.00 | $63.77 |
| D0330 | Panoramic image | 96,839 | $57.79 | $0.00 | $130.56 |
| T2022 | Case management, per month | 96,208 | $184.24 | $50.56 | $202.00 |
| 90833 | Psytx w pt w e/m 30 min | 94,761 | $17.36 | $0.00 | $82.69 |
| 90853 | Group psychotherapy | 94,162 | $2.85 | $0.00 | $33.10 |
| S9480 | Intensive outpatient psychia | 92,680 | $122.42 | $10.91 | $230.14 |
| J1100 | Dexamethasone sodium phos | 92,428 | $1.14 | $0.00 | $67.53 |
| D9230 | Analgesia | 92,413 | $44.97 | $0.00 | $49.72 |
| 92004 | Compre oph exam new pt 1/> | 91,697 | $77.83 | $0.00 | $161.98 |
| J1885 | Ketorolac tromethamine inj | 91,352 | $3.94 | $0.00 | $106.16 |
| D0230 | Intraoral periapical ea add | 89,819 | $14.48 | $0.00 | $56.93 |
| 84484 | Assay of troponin quant | 89,406 | $7.23 | $0.00 | $21.88 |
| A0428 | Bls | 88,137 | $102.66 | $0.00 | $165.96 |
| T1025 | Ped compr care pkg, per diem | 88,011 | $312.60 | $74.10 | $956.48 |
| 99223 | 1st hosp ip/obs high 75 | 87,820 | $86.53 | $0.00 | $199.81 |
| 87086 | Urine culture/colony count | 86,009 | $5.18 | $0.00 | $18.74 |
| D2392 | Post 2 srfc resinbased cmpst | 84,243 | $119.95 | $0.00 | $158.58 |
| 87661 | Trichomonas vaginalis amplif | 84,115 | $23.70 | $0.00 | $73.69 |
| 3351F | Neg scrn dep symp by deptool | 84,106 | $0.00 | $0.00 | $0.31 |
| 3288F | Fall risk assessment docd | 83,399 | $0.00 | $0.00 | $0.00 |
| 87481 | Candida dna amp probe | 82,937 | $21.52 | $0.00 | $125.47 |
| 3077F | Syst bp >= 140 mm hg | 82,650 | $0.01 | $0.00 | $0.91 |
| 84443 | Assay thyroid stim hormone | 82,296 | $9.07 | $0.00 | $24.73 |
| D0999 | Unspecified diagnostic proce | 82,239 | $114.60 | $0.00 | $719.00 |
| 80050 | General health panel | 81,858 | $29.29 | $0.00 | $79.86 |
| 93000 | Electrocardiogram complete | 81,233 | $8.81 | $0.00 | $129.57 |
| 99231 | Sbsq hosp ip/obs sf/low 25 | 80,310 | $19.66 | $0.00 | $57.40 |
| A0398 | Als routine disposble suppls | 79,995 | $36.36 | $9.10 | $48.42 |
| 83735 | Assay of magnesium | 79,882 | $3.79 | $0.00 | $30.25 |
| 99394 | Prev visit est age 12-17 | 79,798 | $50.63 | $0.00 | $83.25 |
| 99051 | Med serv eve/wkend/holiday | 79,223 | $12.57 | $0.00 | $30.00 |
| 2001F | Weight record | 78,958 | $0.00 | $0.00 | $0.00 |
| 88305 | Tissue exam by pathologist | 78,467 | $57.84 | $0.00 | $485.03 |
| H2025 | Supp maint employ, 15 min | 76,989 | $79.36 | $0.00 | $1,213.73 |
| V2100 | Lens spher single plano 4.00 | 75,373 | $18.73 | $0.00 | $91.66 |
| P9603 | One-way allow prorated miles | 73,398 | $0.00 | $0.00 | $0.00 |
| G0299 | Hhs/hospice of rn ea 15 min | 73,158 | $65.23 | $0.00 | $166.37 |
| 82306 | Vitamin d 25 hydroxy | 72,247 | $16.01 | $0.00 | $41.18 |
| 93306 | Tte w/doppler complete | 71,536 | $87.90 | $0.00 | $872.82 |
| A0429 | Bls-emergency | 71,296 | $323.47 | $0.00 | $760.39 |