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 101–150 of 1,733 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 82728 | Assay of ferritin | 25,727 | $5.05 | $0.00 | $12.97 |
| A0427 | Als1-emergency | 25,299 | $264.91 | $0.00 | $520.94 |
| 86140 | C-reactive protein | 25,055 | $1.24 | $0.00 | $11.90 |
| 83540 | Assay of iron | 24,789 | $2.30 | $0.00 | $6.18 |
| G0480 | Drug test def 1-7 classes | 24,770 | $11.91 | $0.00 | $82.36 |
| 77067 | Scr mammo bi incl cad | 24,718 | $27.48 | $0.00 | $85.24 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 24,139 | $2.68 | $0.00 | $38.38 |
| J3010 | Fentanyl citrate injection | 23,833 | $0.07 | $0.00 | $9.18 |
| 77063 | Breast tomosynthesis bi | 23,364 | $14.31 | $0.00 | $69.14 |
| J1100 | Dexamethasone sodium phos | 23,278 | $0.12 | $0.00 | $7.56 |
| 99204 | Office o/p new mod 45 min | 23,064 | $68.47 | $0.00 | $157.99 |
| 96164 | Hlth bhv ivntj grp 1st 30 | 23,028 | $46.72 | $36.73 | $49.84 |
| 96165 | Hlth bhv ivntj grp ea addl | 22,780 | $258.92 | $147.99 | $361.41 |
| D7140 | Extraction erupted tooth/exr | 22,767 | $108.56 | $0.00 | $1,764.76 |
| D0140 | Limit oral eval problm focus | 22,515 | $40.14 | $0.00 | $180.69 |
| 83550 | Iron binding test | 22,259 | $3.15 | $0.00 | $8.25 |
| 99391 | Per pm reeval est pat infant | 22,189 | $39.27 | $0.00 | $92.62 |
| 81025 | Urine pregnancy test | 21,216 | $1.28 | $0.00 | $117.89 |
| 99393 | Prev visit est age 5-11 | 21,171 | $40.03 | $0.00 | $304.36 |
| A0429 | Bls-emergency | 21,123 | $230.59 | $0.00 | $404.38 |
| 76819 | Fetal biophys profil w/o nst | 21,065 | $52.13 | $0.00 | $117.90 |
| H2011 | Crisis interven svc, 15 min | 21,044 | $276.26 | $0.00 | $578.43 |
| D0220 | Intraoral periapical first | 20,663 | $15.00 | $0.00 | $78.71 |
| 87636 | Sarscov2 & inf a&b amp prb | 20,435 | $38.12 | $0.00 | $99.84 |
| T1016 | Case management | 20,268 | $54.15 | $41.96 | $82.11 |
| 82607 | Vitamin b-12 | 20,249 | $5.60 | $0.00 | $24.20 |
| 80305 | Drug test prsmv dir opt obs | 19,929 | $2.48 | $0.00 | $32.60 |
| 97535 | Self care mngment training | 19,832 | $21.84 | $0.00 | $52.55 |
| 93306 | Tte w/doppler complete | 19,820 | $118.68 | $9.24 | $496.98 |
| 87591 | N.gonorrhoeae dna amp prob | 19,352 | $8.15 | $0.00 | $26.62 |
| 87491 | Chlmyd trach dna amp probe | 19,198 | $8.23 | $0.00 | $26.62 |
| 99203 | Office o/p new low 30 min | 18,823 | $37.71 | $0.00 | $249.05 |
| 36416 | Collj capillary blood spec | 18,817 | $0.31 | $0.00 | $5.51 |
| G0151 | Hhcp-serv of pt,ea 15 min | 18,639 | $68.21 | $0.00 | $139.70 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | 18,194 | $6.84 | $0.00 | $103.66 |
| H0015 | Alcohol and/or drug services | 18,115 | $210.12 | $0.00 | $369.44 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, | 17,681 | $12.84 | $2.22 | $69.17 |
| D0274 | Bitewings four images | 17,630 | $33.69 | $0.00 | $265.40 |
| D2392 | Post 2 srfc resinbased cmpst | 17,270 | $102.78 | $0.00 | $146.28 |
| J3490 | Drugs unclassified injection | 17,005 | $0.16 | $0.00 | $13.96 |
| 96127 | Brief emotional/behav assmt | 16,937 | $3.51 | $0.00 | $36.11 |
| 11721 | Debride nail 6 or more | 16,632 | $9.55 | $0.00 | $42.63 |
| D1310 | Nutri counsel-control caries | 16,571 | $22.33 | $0.00 | $27.56 |
| 3008F | Body mass index docd | 16,510 | $0.09 | $0.00 | $6.93 |
| A4657 | Syringe w/wo needle | 16,478 | $0.00 | $0.00 | $0.00 |
| 87077 | Culture aerobic identify | 16,104 | $1.04 | $0.00 | $7.97 |
| H0040 | Assert comm tx pgm per diem | 16,023 | $430.93 | $34.33 | $607.28 |
| E0601 | Continuous positive airway pressure (cpap) device | 16,008 | $36.14 | $0.41 | $69.83 |
| 84439 | Assay of free thyroxine | 15,672 | $3.70 | $0.00 | $9.41 |
| G2067 | Med assist tx meth wk | 15,622 | $23.43 | $0.00 | $72.93 |