Maryland Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Maryland, based on 2024 claims data.
2024 Overview
Procedures
2.3K
Total Claims
39.7M
Total Paid
$3.4B
Popular Services
Procedures
Showing 1–50 of 2,336 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99214 | Office o/p est mod 30 min | 2,231,961 | $105.56 | $0.00 | $390.72 |
| 90834 | Psytx w pt 45 minutes | 2,092,448 | $130.17 | $0.00 | $166.73 |
| 99213 | Office o/p est low 20 min | 2,040,157 | $90.22 | $0.00 | $422.59 |
| S5102 | Adult day care per diem | 1,488,000 | $101.76 | $0.00 | $116.59 |
| H0015 | Alcohol and/or drug services | 957,105 | $188.27 | $0.00 | $281.58 |
| H0020 | Alcohol and/or drug services | 814,579 | $90.80 | $0.00 | $95.97 |
| D0120 | Periodic oral evaluation | 527,899 | $30.56 | $0.00 | $48.19 |
| 36415 | Coll venous bld venipuncture | 496,825 | $4.21 | $-0.91 | $765.16 |
| D1206 | Topical fluoride varnish | 493,735 | $24.77 | $0.00 | $36.60 |
| 99309 | Sbsq nf care moderate mdm 30 | 446,842 | $26.95 | $-15.49 | $99.27 |
| 92508 | Tx sp lang voice comm group | 420,345 | $20.33 | $0.00 | $25.68 |
| D1120 | Dental prophylaxis child | 404,387 | $46.67 | $0.00 | $61.61 |
| 99308 | Sbsq nf care low mdm 20 | 378,087 | $19.87 | $0.00 | $76.24 |
| 92507 | Tx sp lang voice comm indiv | 376,563 | $57.07 | $0.00 | $165.61 |
| H0044 | Supported housing, per month | 353,249 | $939.60 | $0.00 | $1,205.88 |
| H0004 | Alcohol and/or drug services | 352,982 | $86.56 | $0.00 | $313.67 |
| H0005 | Alcohol and/or drug services | 345,681 | $57.30 | $0.00 | $60.62 |
| 97530 | Therapeutic activities | 343,907 | $54.43 | $0.00 | $162.82 |
| H2036 | A/d tx program, per diem | 330,867 | $308.63 | $0.00 | $326.27 |
| 97110 | Therapeutic exercises | 321,132 | $37.36 | $0.00 | $149.12 |
| T2022 | Case management, per month | 320,918 | $142.08 | $0.00 | $150.00 |
| D1351 | Dental sealant per tooth | 306,052 | $38.27 | $0.00 | $49.41 |
| 85025 | Complete cbc w/auto diff wbc | 290,971 | $5.08 | $0.00 | $358.27 |
| 99284 | Emergency dept visit mod mdm | 290,268 | $108.43 | $0.00 | $896.60 |
| D0220 | Intraoral periapical first | 277,324 | $11.24 | $0.00 | $28.06 |
| 90832 | Psytx w pt 30 minutes | 275,054 | $66.14 | $0.00 | $160.60 |
| D1110 | Dental prophylaxis adult | 273,418 | $64.30 | $0.00 | $83.57 |
| 90833 | Psytx w pt w e/m 30 min | 271,012 | $59.37 | $0.00 | $140.82 |
| 90853 | Group psychotherapy | 257,760 | $59.30 | $0.00 | $80.14 |
| 71045 | X-ray exam chest 1 view | 250,223 | $4.10 | $-0.02 | $112.19 |
| 90837 | Psytx w pt 60 minutes | 246,752 | $134.71 | $0.00 | $230.92 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 239,668 | $45.78 | $0.00 | $152.83 |
| 93010 | Electrocardiogram report | 225,580 | $6.38 | $0.00 | $86.90 |
| 90847 | Family psytx w/pt 50 min | 225,432 | $137.40 | $0.00 | $170.57 |
| 3008F | Body mass index docd | 211,641 | $0.53 | $0.00 | $82.69 |
| D0274 | Bitewings four images | 209,563 | $23.35 | $0.00 | $57.95 |
| 80053 | Comprehen metabolic panel | 204,843 | $6.48 | $0.00 | $144.96 |
| D1208 | Topical app fluorid ex vrnsh | 202,872 | $23.86 | $0.00 | $34.77 |
| 71046 | X-ray exam chest 2 views | 201,517 | $8.62 | $0.00 | $160.00 |
| 3074F | Syst bp lt 130 mm hg | 199,010 | $2.44 | $0.00 | $25.94 |
| 87880 | Strep a assay w/optic | 196,381 | $7.34 | $0.00 | $99.14 |
| 99233 | Sbsq hosp ip/obs high 50 | 195,506 | $52.86 | $0.00 | $170.78 |
| T1015 | Clinic service | 192,720 | $196.38 | $0.00 | $390.72 |
| D1330 | Oral hygiene instructions | 190,087 | $6.94 | $0.00 | $7.20 |
| D2392 | Post 2 srfc resinbased cmpst | 185,745 | $134.34 | $0.00 | $293.56 |
| J0574 | Bupren/nal 6.1 to 10mg bupre | 184,680 | $19.47 | $7.68 | $277.55 |
| D0272 | Dental bitewings two images | 183,577 | $16.43 | $0.00 | $41.48 |
| D0150 | Comprehensve oral evaluation | 178,055 | $54.04 | $0.00 | $77.50 |
| T1003 | Lpn/lvn services up to 15min | 174,625 | $584.51 | $391.03 | $713.87 |
| S9083 | Urgent care center global | 170,136 | $140.86 | $0.00 | $171.66 |