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 101–150 of 2,843 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| T1027 | Family training & counseling | 208,244 | $157.51 | $47.53 | $319.05 |
| 83540 | Assay of iron | 206,902 | $3.02 | $0.00 | $234.73 |
| D0140 | Limit oral eval problm focus | 206,772 | $36.76 | $0.00 | $82.15 |
| 84155 | Assay of protein serum | 205,469 | $0.23 | $0.00 | $6.82 |
| D1208 | Topical app fluorid ex vrnsh | 201,958 | $29.12 | $0.00 | $33.00 |
| H0040 | Assert comm tx pgm per diem | 194,170 | $67.89 | $54.02 | $632.52 |
| 81003 | Urinalysis auto w/o scope | 192,279 | $1.41 | $0.00 | $15.92 |
| 92508 | Tx sp lang voice comm group | 190,450 | $15.25 | $8.88 | $28.84 |
| D2392 | Post 2 srfc resinbased cmpst | 186,931 | $89.18 | $0.00 | $158.40 |
| 88305 | Tissue exam by pathologist | 184,511 | $25.20 | $0.00 | $344.68 |
| 92014 | Compre oph exam est pt 1/> | 183,535 | $64.42 | $0.00 | $186.26 |
| D1351 | Dental sealant per tooth | 181,840 | $38.38 | $0.52 | $99.90 |
| S0504 | Singl prscrp lens | 180,417 | $10.05 | $10.05 | $10.05 |
| 92015 | Determine refractive state | 179,811 | $12.51 | $0.00 | $445.15 |
| 99233 | Sbsq hosp ip/obs high 50 | 178,222 | $41.92 | $0.00 | $641.82 |
| 96374 | Ther/proph/diag inj iv push | 177,945 | $7.87 | $0.00 | $247.79 |
| 82607 | Vitamin b-12 | 175,922 | $5.99 | $0.00 | $49.93 |
| 83690 | Assay of lipase | 175,263 | $4.46 | $0.00 | $49.26 |
| D0150 | Comprehensve oral evaluation | 171,900 | $43.05 | $0.00 | $284.65 |
| V2020 | Vision svcs frames purchases | 170,653 | $16.67 | $0.00 | $204.00 |
| 96127 | Brief emotional/behav assmt | 169,234 | $14.30 | $0.00 | $90.76 |
| 90832 | Psytx w pt 30 minutes | 169,072 | $32.48 | $0.00 | $261.30 |
| 74177 | Ct abd & pelvis w/contrast | 167,939 | $90.31 | $0.00 | $2,001.10 |
| 99308 | Sbsq nf care low mdm 20 | 166,313 | $13.03 | $0.00 | $65.74 |
| 85610 | Prothrombin time | 166,258 | $2.03 | $0.00 | $13.62 |
| T2046 | Hospice long term care, r&b | 165,845 | $546.64 | $0.00 | $7,584.49 |
| 83550 | Iron binding test | 162,332 | $3.90 | $0.00 | $239.29 |
| 77067 | Scr mammo bi incl cad | 162,264 | $36.88 | $0.00 | $362.93 |
| 82465 | Assay bld/serum cholesterol | 160,788 | $1.10 | $0.00 | $7.41 |
| 92340 | Fit spectacles monofocal | 160,491 | $31.12 | $0.00 | $106.23 |
| 84484 | Assay of troponin quant | 159,440 | $8.58 | $0.00 | $87.68 |
| 83718 | Assay of lipoprotein | 157,066 | $1.86 | $0.52 | $13.92 |
| 96372 | Ther/proph/diag inj sc/im | 155,268 | $18.71 | $0.00 | $541.91 |
| 77063 | Breast tomosynthesis bi | 151,023 | $32.12 | $0.00 | $134.20 |
| J2405 | Ondansetron hcl injection | 150,526 | $2.44 | $0.00 | $40.35 |
| 96375 | Tx/pro/dx inj new drug addon | 150,413 | $10.60 | $0.00 | $253.58 |
| A0100 | Nonemergency transport taxi | 150,278 | $19.28 | $13.86 | $419.83 |
| 82570 | Assay of urine creatinine | 149,877 | $2.13 | $0.00 | $52.88 |
| 84478 | Assay of triglycerides | 149,649 | $0.98 | $0.00 | $6.57 |
| H0020 | Alcohol and/or drug services | 147,353 | $12.29 | $2.49 | $425.00 |
| 70450 | Ct head/brain w/o dye | 145,943 | $67.48 | $0.00 | $487.30 |
| A0428 | Bls | 144,872 | $120.11 | $0.00 | $292.10 |
| 87661 | Trichomonas vaginalis amplif | 144,637 | $21.67 | $0.00 | $86.17 |
| 97112 | Neuromuscular reeducation | 144,444 | $26.55 | $0.00 | $352.52 |
| 81025 | Urine pregnancy test | 141,022 | $7.30 | $0.00 | $106.95 |
| J1885 | Ketorolac tromethamine inj | 139,310 | $2.18 | $0.00 | $58.50 |
| 92507 | Tx sp lang voice comm indiv | 136,527 | $88.15 | $0.00 | $253.23 |
| S0341 | Lifestyle mod 2 or 3 stage | 135,688 | $106.35 | $0.00 | $2,298.21 |
| 84439 | Assay of free thyroxine | 135,136 | $4.90 | $0.00 | $44.49 |
| 96361 | Hydrate iv infusion add-on | 133,766 | $436.21 | $0.00 | $1,587.59 |