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 51–100 of 1,733 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| T2022 | Case management, per month | 44,829 | $218.35 | $0.00 | $440.99 |
| G0467 | Fqhc visit, estab pt | 44,417 | $89.31 | $0.00 | $469.58 |
| 90832 | Psytx w pt 30 minutes | 44,287 | $31.16 | $0.00 | $304.36 |
| H2017 | Psysoc rehab svc, per 15 min | 44,005 | $200.75 | $42.31 | $343.36 |
| D0120 | Periodic oral evaluation | 42,579 | $25.96 | $0.00 | $223.97 |
| G2211 | Complex e/m visit add on | 41,377 | $1.31 | $0.00 | $24.39 |
| 88305 | Tissue exam by pathologist | 40,419 | $21.80 | $0.00 | $140.33 |
| D1354 | Int caries med app per tooth | 39,824 | $24.83 | $0.00 | $29.01 |
| 71045 | X-ray exam chest 1 view | 39,261 | $11.06 | $0.00 | $85.14 |
| H2030 | Mh clubhouse svc, per 15 min | 39,042 | $146.20 | $95.16 | $159.43 |
| 99215 | Office o/p est hi 40 min | 38,840 | $55.26 | $0.00 | $170.90 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 37,716 | $36.51 | $0.89 | $82.33 |
| 81003 | Urinalysis auto w/o scope | 37,496 | $0.33 | $0.00 | $6.02 |
| 81001 | Urinalysis auto w/scope | 37,385 | $0.55 | $0.00 | $3.37 |
| 90837 | Psytx w pt 60 minutes | 37,281 | $43.33 | $0.00 | $613.37 |
| 96374 | Ther/proph/diag inj iv push | 37,062 | $82.70 | $0.00 | $218.08 |
| 96372 | Ther/proph/diag inj sc/im | 36,309 | $12.41 | $0.00 | $58.39 |
| J2405 | Ondansetron hcl injection | 35,983 | $0.14 | $0.00 | $7.78 |
| 92508 | Tx sp lang voice comm group | 35,610 | $12.58 | $0.00 | $16.69 |
| 84484 | Assay of troponin quant | 35,271 | $0.45 | $0.00 | $4.88 |
| H2018 | Psysoc rehab svc, per diem | 33,989 | $116.54 | $105.90 | $117.59 |
| 74177 | Ct abd & pelvis w/contrast | 33,715 | $98.12 | $0.00 | $392.90 |
| T1013 | Sign lang/oral interpreter | 33,161 | $100.03 | $0.00 | $309.39 |
| 85027 | Complete cbc automated | 33,068 | $2.08 | $0.00 | $6.07 |
| 87086 | Urine culture/colony count | 33,017 | $1.64 | $0.00 | $7.31 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 32,991 | $41.20 | $10.07 | $137.84 |
| 96375 | Tx/pro/dx inj new drug addon | 32,566 | $29.15 | $0.00 | $99.25 |
| D1110 | Dental prophylaxis adult | 32,274 | $45.92 | $0.00 | $104.08 |
| 92015 | Determine refractive state | 31,796 | $1.30 | $0.00 | $19.38 |
| J1885 | Ketorolac tromethamine inj | 30,935 | $0.17 | $0.00 | $18.93 |
| 90472 | Immunization admin each add | 30,339 | $2.80 | $0.00 | $35.81 |
| 99282 | Emergency dept visit sf mdm | 30,147 | $60.68 | $0.00 | $201.73 |
| 92014 | Compre oph exam est pt 1/> | 30,106 | $57.85 | $0.00 | $115.54 |
| 99212 | Office o/p est sf 10 min | 29,902 | $10.77 | $0.00 | $285.34 |
| A0100 | Nonemergency transport taxi | 29,476 | $15.23 | $14.98 | $15.74 |
| G0008 | Admin influenza virus vac | 29,381 | $26.09 | $0.00 | $49.63 |
| 83690 | Assay of lipase | 29,137 | $0.40 | $0.00 | $5.65 |
| 87880 | Strep a assay w/optic | 28,996 | $2.92 | $0.00 | $15.21 |
| 82306 | Vitamin d 25 hydroxy | 28,931 | $12.33 | $0.00 | $28.54 |
| 85610 | Prothrombin time | 28,331 | $0.97 | $0.00 | $8.22 |
| A7038 | Pos airway pressure filter | 28,101 | $4.62 | $0.54 | $10.23 |
| J2704 | Inj, propofol, 10 mg | 28,097 | $0.10 | $0.00 | $5.89 |
| 96365 | Ther/proph/diag iv inf init | 27,914 | $71.79 | $0.00 | $222.68 |
| D0190 | Screening of a patient | 27,861 | $19.93 | $0.00 | $22.45 |
| 70450 | Ct head/brain w/o dye | 27,539 | $47.98 | $0.00 | $219.63 |
| 80307 | Drug test prsmv chem anlyzr | 27,322 | $8.35 | $0.00 | $50.35 |
| 96361 | Hydrate iv infusion add-on | 26,926 | $32.02 | $0.00 | $95.00 |
| S0215 | Nonemerg transp mileage | 26,598 | $7.92 | $7.48 | $9.05 |
| S9999 | Sales tax | 26,495 | $11.46 | $2.58 | $26.98 |
| 99392 | Prev visit est age 1-4 | 26,033 | $41.66 | $0.00 | $98.68 |