Massachusetts Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Massachusetts, based on 2024 claims data.
2024 Overview
Procedures
2.8K
Total Claims
103.0M
Total Paid
$8.3B
Popular Services
Procedures
Showing 51–100 of 2,843 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| G9005 | Mccd, risk adj, maintenance | 349,274 | $0.00 | $0.00 | $0.00 |
| 85027 | Complete cbc automated | 345,794 | $3.34 | $0.00 | $248.33 |
| D0274 | Bitewings four images | 325,982 | $35.83 | $0.00 | $50.20 |
| 93005 | Electrocardiogram tracing | 322,281 | $2.29 | $0.00 | $64.36 |
| 81001 | Urinalysis auto w/scope | 320,007 | $1.88 | $0.00 | $35.54 |
| G0480 | Drug test def 1-7 classes | 316,226 | $35.01 | $0.00 | $151.35 |
| S5100 | Adult daycare services 15min | 315,402 | $322.45 | $29.53 | $433.25 |
| 87491 | Chlmyd trach dna amp probe | 313,579 | $21.04 | $0.00 | $144.16 |
| 87591 | N.gonorrhoeae dna amp prob | 311,703 | $21.06 | $0.00 | $111.53 |
| H2018 | Psysoc rehab svc, per diem | 291,427 | $356.97 | $57.46 | $519.83 |
| 99211 | Off/op est may x req phy/qhp | 287,589 | $85.52 | $0.00 | $502.54 |
| 82565 | Assay of creatinine | 286,876 | $0.67 | $0.00 | $59.28 |
| 87086 | Urine culture/colony count | 284,981 | $4.88 | $0.00 | $35.02 |
| 99309 | Sbsq nf care moderate mdm 30 | 282,763 | $17.58 | $0.00 | $84.75 |
| 84520 | Assay of urea nitrogen | 272,567 | $0.32 | $0.00 | $6.71 |
| 84460 | Alanine amino (alt) (sgpt) | 267,369 | $0.58 | $0.00 | $7.94 |
| 99212 | Office o/p est sf 10 min | 265,736 | $104.83 | $0.00 | $386.73 |
| 82947 | Assay glucose blood quant | 264,763 | $0.66 | $0.00 | $151.70 |
| D0230 | Intraoral periapical ea add | 260,378 | $12.26 | $0.00 | $43.16 |
| 83735 | Assay of magnesium | 259,797 | $3.52 | $0.00 | $264.18 |
| 84450 | Transferase (ast) (sgot) | 258,360 | $0.52 | $0.00 | $85.81 |
| 90999 | Unlisted dialysis procedure | 257,948 | $75.97 | $0.00 | $357.17 |
| S0302 | Completed epsdt | 253,316 | $6.80 | $0.00 | $36.23 |
| 97153 | Adaptive behavior tx by tech | 247,903 | $242.44 | $16.58 | $1,062.25 |
| 82306 | Vitamin d 25 hydroxy | 245,430 | $12.93 | $0.00 | $86.13 |
| 90471 | Immunization admin | 245,217 | $3.89 | $0.00 | $49.83 |
| A9901 | Delivery/set up/dispensing | 242,677 | $2.61 | $0.00 | $24.00 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 241,829 | $28.50 | $0.00 | $453.05 |
| 97530 | Therapeutic activities | 241,773 | $34.63 | $0.00 | $456.51 |
| H0019 | Alcohol and/or drug services | 241,696 | $449.60 | $171.16 | $14,573.48 |
| 71045 | X-ray exam chest 1 view | 241,654 | $4.13 | $0.00 | $293.13 |
| 90460 | Im admin 1st/only component | 241,375 | $3.13 | $0.00 | $79.50 |
| 96110 | Developmental screen w/score | 235,145 | $23.50 | $0.37 | $576.53 |
| 84132 | Assay of serum potassium | 232,229 | $0.28 | $0.00 | $13.34 |
| 82310 | Assay of calcium | 231,293 | $0.31 | $0.00 | $7.03 |
| S5131 | Homemaker service nos /diem | 224,203 | $130.45 | $0.00 | $2,305.79 |
| 87389 | Hiv-1 ag w/hiv-1&-2 ab ag ia | 220,516 | $13.69 | $0.00 | $64.58 |
| 97140 | Manual therapy 1/> regions | 220,460 | $23.63 | $0.00 | $97.20 |
| 82040 | Assay of serum albumin | 220,117 | $0.50 | $0.00 | $252.51 |
| G0300 | Hhs/hospice of lpn ea 15 min | 219,116 | $50.69 | $0.00 | $110.80 |
| 82247 | Bilirubin total | 218,925 | $0.41 | $0.00 | $21.57 |
| 99215 | Office o/p est hi 40 min | 218,307 | $91.51 | $0.00 | $616.39 |
| 86803 | Hepatitis c ab test | 214,849 | $8.05 | $0.00 | $53.11 |
| 84295 | Assay of serum sodium | 213,456 | $0.28 | $0.00 | $13.44 |
| 82728 | Assay of ferritin | 212,569 | $6.57 | $0.00 | $249.21 |
| 84075 | Assay alkaline phosphatase | 212,545 | $0.30 | $0.00 | $4.20 |
| A0429 | Bls-emergency | 210,915 | $237.95 | $0.00 | $348.63 |
| T1002 | Rn services up to 15 minutes | 210,687 | $308.95 | $0.00 | $610.34 |
| 82435 | Assay of blood chloride | 208,868 | $0.24 | $0.00 | $3.65 |
| 82374 | Assay blood carbon dioxide | 208,593 | $0.26 | $0.00 | $1.78 |