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 51–100 of 2,336 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99285 | Emergency dept visit hi mdm | 168,259 | $129.44 | $0.00 | $1,197.95 |
| 99215 | Office o/p est hi 40 min | 165,855 | $146.22 | $0.00 | $330.76 |
| G8427 | Docrev cur meds by elig clin | 164,687 | $1.59 | $-2.54 | $283.11 |
| 96127 | Brief emotional/behav assmt | 163,027 | $4.99 | $-0.81 | $60.79 |
| 97112 | Neuromuscular reeducation | 162,315 | $22.98 | $0.00 | $81.96 |
| D0230 | Intraoral periapical ea add | 162,254 | $8.72 | $0.00 | $35.22 |
| 3078F | Diast bp <80 mm hg | 162,233 | $1.79 | $0.00 | $33.48 |
| 80307 | Drug test prsmv chem anlyzr | 157,824 | $45.57 | $0.00 | $175.13 |
| 80061 | Lipid panel | 157,307 | $9.70 | $0.00 | $14.64 |
| 83036 | Hemoglobin glycosylated a1c | 155,113 | $6.98 | $0.00 | $93.91 |
| 96110 | Developmental screen w/score | 148,267 | $9.09 | $0.00 | $20.67 |
| Q0092 | Set up port xray equipment | 147,704 | $2.23 | $0.00 | $34.66 |
| 1123F | Acp discuss/dscn mkr docd | 146,735 | $5.77 | $0.00 | $112.16 |
| 99173 | Visual acuity screen | 145,986 | $2.32 | $0.00 | $22.69 |
| 99204 | Office o/p new mod 45 min | 138,353 | $118.49 | $0.00 | $319.28 |
| D0140 | Limit oral eval problm focus | 135,119 | $44.25 | $0.00 | $55.22 |
| 97140 | Manual therapy 1/> regions | 132,250 | $19.75 | $0.00 | $93.91 |
| G2211 | Complex e/m visit add on | 129,172 | $16.86 | $0.00 | $149.42 |
| D0330 | Panoramic image | 124,170 | $44.22 | $0.00 | $103.70 |
| A4927 | Non-sterile gloves | 123,668 | $27.41 | $0.07 | $63.47 |
| V2020 | Vision svcs frames purchases | 120,699 | $22.08 | $0.00 | $70.01 |
| 99392 | Prev visit est age 1-4 | 119,531 | $118.15 | $0.00 | $390.72 |
| 84443 | Assay thyroid stim hormone | 118,544 | $12.27 | $0.00 | $21.51 |
| 92551 | Pure tone hearing test air | 116,335 | $8.99 | $0.00 | $19.10 |
| A0427 | Als1-emergency | 116,273 | $118.81 | $0.00 | $657.85 |
| G0481 | Drug test def 8-14 classes | 111,631 | $120.72 | $0.00 | $125.27 |
| H0036 | Comm psy face-face per 15min | 111,599 | $68.28 | $0.00 | $128.85 |
| D8670 | Periodic orthodontc tx visit | 110,721 | $73.96 | $0.00 | $183.72 |
| 87804 | Influenza assay w/optic | 110,160 | $8.30 | $0.00 | $87.45 |
| 99212 | Office o/p est sf 10 min | 109,515 | $69.81 | $0.00 | $373.73 |
| 92015 | Determine refractive state | 108,484 | $10.08 | $0.00 | $110.14 |
| 96160 | Pt-focused hlth risk assmt | 107,676 | $2.65 | $0.00 | $42.83 |
| 99203 | Office o/p new low 30 min | 105,593 | $84.47 | $0.00 | $270.98 |
| 87491 | Chlmyd trach dna amp probe | 103,187 | $29.81 | $0.00 | $191.71 |
| 99391 | Per pm reeval est pat infant | 103,046 | $116.03 | $0.00 | $377.58 |
| D2391 | Post 1 srfc resinbased cmpst | 102,585 | $103.37 | $0.00 | $230.11 |
| 99393 | Prev visit est age 5-11 | 102,441 | $116.48 | $0.00 | $390.72 |
| 85027 | Complete cbc automated | 102,313 | $5.17 | $0.00 | $12.99 |
| 87591 | N.gonorrhoeae dna amp prob | 100,649 | $29.64 | $0.00 | $141.43 |
| 92014 | Compre oph exam est pt 1/> | 100,489 | $47.71 | $-1.71 | $148.15 |
| T2003 | N-et; encounter/trip | 98,092 | $28.44 | $15.83 | $40.67 |
| T1019 | Personal care ser per 15 min | 93,505 | $135.27 | $0.00 | $181.76 |
| D9230 | Analgesia | 93,405 | $20.00 | $0.00 | $83.80 |
| 90471 | Immunization admin | 87,132 | $25.05 | $0.00 | $46.16 |
| H0032 | Mh svc plan dev by non-md | 85,940 | $127.23 | $0.00 | $172.45 |
| 90999 | Unlisted dialysis procedure | 85,586 | $49.02 | $10.38 | $644.74 |
| T4541 | Large disposable underpad | 84,230 | $43.00 | $0.00 | $68.85 |
| 90791 | Psych diagnostic evaluation | 83,793 | $239.70 | $0.00 | $301.48 |
| R0070 | Transport portable x-ray | 82,942 | $23.82 | $0.00 | $178.94 |
| 93000 | Electrocardiogram complete | 82,675 | $14.98 | $0.00 | $121.68 |