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 101–150 of 2,336 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| D7140 | Extraction erupted tooth/exr | 81,722 | $127.34 | $0.00 | $145.01 |
| 81002 | Urinalysis nonauto w/o scope | 80,912 | $1.99 | $0.00 | $81.93 |
| 82306 | Vitamin d 25 hydroxy | 80,067 | $20.46 | $0.00 | $264.29 |
| T4535 | Disposable liner/shield/pad | 78,912 | $60.51 | $0.00 | $102.85 |
| 81001 | Urinalysis auto w/scope | 78,577 | $2.40 | $0.00 | $389.90 |
| 87426 | Sarscov coronavirus ag ia | 76,284 | $22.47 | $0.00 | $68.97 |
| 84520 | Assay of urea nitrogen | 75,558 | $3.39 | $0.00 | $3.93 |
| 82947 | Assay glucose blood quant | 75,431 | $3.76 | $0.00 | $47.33 |
| T1023 | Program intake assessment | 74,076 | $261.68 | $0.00 | $387.50 |
| 82565 | Assay of creatinine | 72,795 | $4.83 | $0.00 | $59.61 |
| T1017 | Targeted case management | 70,867 | $189.72 | $0.00 | $450.00 |
| 81025 | Urine pregnancy test | 70,728 | $4.87 | $0.00 | $27.58 |
| 87811 | Sars-cov-2 covid19 w/optic | 70,504 | $26.48 | $0.00 | $43.18 |
| 87389 | Hiv-1 ag w/hiv-1&-2 ab ag ia | 70,246 | $19.03 | $0.00 | $100.27 |
| T2016 | Habil res waiver per diem | 70,020 | $637.85 | $0.00 | $801.39 |
| 87428 | Sarscov & inf vir a&b ag ia | 68,691 | $14.51 | $0.00 | $73.49 |
| 70450 | Ct head/brain w/o dye | 67,837 | $27.27 | $0.00 | $125.51 |
| A0425 | Ground mileage | 67,323 | $72.97 | $0.00 | $207.63 |
| 81003 | Urinalysis auto w/o scope | 66,898 | $4.10 | $0.00 | $90.30 |
| 88305 | Tissue exam by pathologist | 66,608 | $66.26 | $-13.47 | $803.22 |
| 80051 | Electrolyte panel | 66,440 | $6.74 | $0.00 | $7.02 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 66,272 | $54.28 | $14.05 | $118.96 |
| 99283 | Emergency dept visit low mdm | 65,750 | $83.56 | $0.00 | $375.36 |
| R0075 | Transport port x-ray multipl | 65,611 | $11.35 | $0.00 | $64.12 |
| 99394 | Prev visit est age 12-17 | 64,272 | $123.91 | $0.00 | $390.72 |
| V2100 | Lens spher single plano 4.00 | 64,191 | $16.91 | $0.00 | $46.15 |
| S9088 | Services provided in urgent | 62,150 | $78.61 | $0.00 | $124.17 |
| G0480 | Drug test def 1-7 classes | 61,166 | $83.26 | $0.00 | $182.68 |
| V2784 | Lens polycarb or equal | 60,470 | $5.36 | $0.00 | $35.21 |
| J0572 | Bupren/nal up to 3mg bupreno | 59,264 | $11.78 | $6.63 | $139.80 |
| A7038 | Pos airway pressure filter | 58,823 | $5.10 | $0.00 | $26.05 |
| 97153 | Adaptive behavior tx by tech | 58,641 | $213.55 | $0.00 | $429.23 |
| 86803 | Hepatitis c ab test | 58,526 | $11.52 | $0.00 | $39.60 |
| D0999 | Unspecified diagnostic proce | 58,328 | $248.67 | $115.06 | $395.43 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | 57,858 | $19.04 | $0.00 | $27.88 |
| T1016 | Case management | 57,836 | $165.11 | $0.00 | $172.13 |
| 99223 | 1st hosp ip/obs high 75 | 57,358 | $86.73 | $0.00 | $282.46 |
| 90836 | Psytx w pt w e/m 45 min | 56,329 | $106.07 | $0.00 | $166.32 |
| 87661 | Trichomonas vaginalis amplif | 55,901 | $21.75 | $0.00 | $36.20 |
| D2393 | Post 3 srfc resinbased cmpst | 55,878 | $171.83 | $0.00 | $298.92 |
| G8510 | Scr dep neg, no plan reqd | 55,487 | $2.74 | $0.00 | $117.19 |
| 87651 | Strep a dna amp probe | 55,044 | $25.25 | $0.00 | $372.99 |
| G9916 | Funct status past 12 months | 54,847 | $1.02 | $0.00 | $8.00 |
| 90677 | Pcv20 vaccine im | 54,342 | $85.72 | $0.00 | $302.06 |
| 94760 | N-invas ear/pls oximetry 1 | 54,150 | $1.87 | $0.00 | $97.95 |
| 97150 | Group therapeutic procedures | 53,903 | $20.15 | $0.00 | $3,192.48 |
| 3079F | Diast bp 80-89 mm hg | 53,635 | $2.39 | $0.00 | $18.14 |
| 95117 | Immunotherapy injections | 53,478 | $8.82 | $0.00 | $15.45 |
| 87086 | Urine culture/colony count | 52,970 | $5.73 | $0.00 | $34.50 |
| A4657 | Syringe w/wo needle | 52,965 | $2.48 | $0.00 | $30.33 |