Maine Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Maine, based on 2024 claims data.
2024 Overview
Procedures
1.7K
Total Claims
13.1M
Total Paid
$1.7B
Popular Services
Procedures
Showing 1–50 of 1,733 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| G0463 | Hospital outpt clinic visit | 576,412 | $69.75 | $0.00 | $129.19 |
| T1015 | Clinic service | 460,920 | $231.57 | $0.00 | $719.00 |
| 99214 | Office o/p est mod 30 min | 423,218 | $36.94 | $0.00 | $483.94 |
| 99213 | Office o/p est low 20 min | 381,669 | $25.38 | $0.00 | $719.00 |
| T1019 | Personal care ser per 15 min | 354,894 | $328.04 | $60.99 | $1,430.41 |
| H0004 | Alcohol and/or drug services | 335,167 | $93.78 | $0.00 | $364.73 |
| T2021 | Day habil waiver per 15 min | 294,361 | $189.15 | $78.35 | $3,745.28 |
| T2016 | Habil res waiver per diem | 277,512 | $1,529.20 | $114.04 | $18,790.47 |
| 36415 | Coll venous bld venipuncture | 269,509 | $0.76 | $0.00 | $118.88 |
| H2021 | Com wrap-around sv, 15 min | 245,343 | $412.60 | $0.00 | $7,353.19 |
| 85025 | Complete cbc w/auto diff wbc | 222,292 | $1.55 | $0.00 | $120.19 |
| 80053 | Comprehen metabolic panel | 221,457 | $2.68 | $0.00 | $149.94 |
| G9012 | Other specified case mgmt | 220,591 | $93.91 | $37.43 | $724.81 |
| S5140 | Adult foster care per diem | 206,295 | $443.50 | $82.83 | $10,822.87 |
| H0019 | Alcohol and/or drug services | 189,844 | $542.12 | $63.28 | $16,721.59 |
| H0020 | Alcohol and/or drug services | 185,715 | $154.70 | $0.00 | $179.53 |
| S5125 | Attendant care service /15m | 173,263 | $181.54 | $140.57 | $701.98 |
| 99284 | Emergency dept visit mod mdm | 160,432 | $112.23 | $0.00 | $410.30 |
| H2015 | Comp comm supp svc, 15 min | 157,702 | $112.79 | $0.00 | $416.13 |
| 97530 | Therapeutic activities | 155,547 | $49.04 | $0.00 | $155.42 |
| 97110 | Therapeutic exercises | 140,177 | $16.61 | $0.00 | $69.46 |
| T1017 | Targeted case management | 138,540 | $99.45 | $8.48 | $1,120.66 |
| G0299 | Hhs/hospice of rn ea 15 min | 125,747 | $156.60 | $0.00 | $1,636.27 |
| 99283 | Emergency dept visit low mdm | 115,460 | $84.74 | $0.00 | $343.80 |
| T1020 | Personal care ser per diem | 107,653 | $289.75 | $72.41 | $3,057.57 |
| 92507 | Tx sp lang voice comm indiv | 100,898 | $41.41 | $0.00 | $131.88 |
| H2012 | Behav hlth day treat, per hr | 93,564 | $277.62 | $0.00 | $2,295.98 |
| 93005 | Electrocardiogram tracing | 78,798 | $3.13 | $0.00 | $31.37 |
| 71046 | X-ray exam chest 2 views | 77,962 | $23.07 | $0.00 | $85.03 |
| H2010 | Comprehensive med svc 15 min | 74,957 | $146.71 | $0.00 | $363.96 |
| 93010 | Electrocardiogram report | 74,089 | $3.04 | $0.00 | $7.81 |
| 99285 | Emergency dept visit hi mdm | 71,590 | $220.80 | $0.00 | $1,441.75 |
| D1206 | Topical fluoride varnish | 71,060 | $21.48 | $0.00 | $29.48 |
| 84443 | Assay thyroid stim hormone | 70,915 | $6.14 | $0.00 | $16.46 |
| 83036 | Hemoglobin glycosylated a1c | 70,742 | $3.15 | $0.00 | $24.66 |
| A0425 | Ground mileage | 68,931 | $63.12 | $0.00 | $803.85 |
| D1351 | Dental sealant per tooth | 67,166 | $28.43 | $0.00 | $135.29 |
| 80061 | Lipid panel | 65,653 | $6.04 | $0.00 | $14.22 |
| 97140 | Manual therapy 1/> regions | 65,098 | $13.41 | $0.00 | $51.09 |
| G0156 | Hhcp-svs of aide,ea 15 min | 63,857 | $0.25 | $0.00 | $42.27 |
| 90471 | Immunization admin | 57,205 | $22.07 | $0.00 | $50.85 |
| 83735 | Assay of magnesium | 55,140 | $0.99 | $0.00 | $121.24 |
| 90999 | Unlisted dialysis procedure | 52,794 | $75.49 | $21.87 | $164.99 |
| 97112 | Neuromuscular reeducation | 52,466 | $19.59 | $0.00 | $60.76 |
| T2017 | Habil res waiver 15 min | 51,721 | $251.68 | $79.66 | $1,255.69 |
| 98941 | Chiropract manj 3-4 regions | 51,709 | $17.55 | $0.00 | $94.55 |
| 90834 | Psytx w pt 45 minutes | 47,772 | $24.69 | $0.00 | $290.38 |
| D1120 | Dental prophylaxis child | 47,021 | $43.57 | $0.00 | $199.82 |
| G9002 | Mccd,maintenance rate | 46,937 | $42.92 | $24.74 | $66.76 |
| 80048 | Basic metabolic pnl total ca | 45,568 | $2.39 | $0.00 | $29.34 |