Montana Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Montana, based on 2024 claims data.
2024 Overview
Procedures
1.1K
Total Claims
10.6M
Total Paid
$955.6M
Popular Services
Procedures
Showing 101–150 of 1,145 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| J1100 | Dexamethasone sodium phos | 12,811 | $0.71 | $0.00 | $10.16 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 12,757 | $71.72 | $0.00 | $115.06 |
| G0467 | Fqhc visit, estab pt | 12,672 | $0.00 | $0.00 | $0.21 |
| 70450 | Ct head/brain w/o dye | 12,435 | $24.20 | $0.00 | $207.55 |
| 85610 | Prothrombin time | 12,140 | $0.39 | $0.00 | $5.16 |
| 83735 | Assay of magnesium | 11,808 | $0.58 | $0.00 | $10.80 |
| T2031 | Assist living waiver/diem | 11,711 | $1,830.09 | $153.94 | $4,050.59 |
| 80307 | Drug test prsmv chem anlyzr | 11,643 | $31.40 | $0.00 | $62.14 |
| 96365 | Ther/proph/diag iv inf init | 11,617 | $5.29 | $0.00 | $84.61 |
| D9230 | Analgesia | 11,425 | $32.80 | $0.00 | $59.12 |
| 96361 | Hydrate iv infusion add-on | 11,374 | $1.85 | $0.00 | $18.48 |
| 84439 | Assay of free thyroxine | 11,346 | $1.54 | $0.00 | $20.15 |
| 90999 | Unlisted dialysis procedure | 11,088 | $0.00 | $0.00 | $0.00 |
| H0037 | Comm psy sup tx pgm per diem | 10,805 | $268.72 | $166.62 | $286.48 |
| 82728 | Assay of ferritin | 10,662 | $2.50 | $0.00 | $18.06 |
| D2930 | Prefab stnlss steel crwn pri | 10,587 | $112.45 | $0.00 | $179.49 |
| A0429 | Bls-emergency | 10,413 | $168.26 | $0.00 | $353.68 |
| D0350 | Oral/facial photo images | 10,407 | $44.64 | $0.00 | $182.34 |
| 81003 | Urinalysis auto w/o scope | 10,377 | $0.71 | $0.00 | $3.97 |
| 92004 | Compre oph exam new pt 1/> | 10,328 | $117.31 | $0.00 | $196.74 |
| 80050 | General health panel | 10,281 | $6.25 | $0.00 | $64.37 |
| A0425 | Ground mileage | 10,258 | $40.06 | $0.00 | $595.16 |
| 87651 | Strep a dna amp probe | 10,251 | $10.60 | $0.00 | $44.70 |
| H0048 | Spec coll non-blood:a/d test | 9,955 | $8.51 | $7.07 | $8.88 |
| 81025 | Urine pregnancy test | 9,822 | $2.49 | $0.00 | $21.54 |
| 82075 | Assay of breath ethanol | 9,811 | $27.39 | $22.50 | $30.00 |
| 87491 | Chlmyd trach dna amp probe | 9,435 | $4.00 | $0.00 | $35.20 |
| 87591 | N.gonorrhoeae dna amp prob | 9,413 | $3.96 | $0.00 | $35.20 |
| H0015 | Alcohol and/or drug services | 9,342 | $360.40 | $119.53 | $386.57 |
| A4927 | Non-sterile gloves | 9,328 | $47.76 | $0.00 | $97.60 |
| A9270 | Non-covered item or service | 9,322 | $3.26 | $0.00 | $1,192.33 |
| 90785 | Psytx complex interactive | 9,320 | $8.36 | $0.00 | $29.66 |
| E0601 | Continuous positive airway pressure (cpap) device | 9,279 | $40.64 | $19.51 | $101.74 |
| T2001 | N-et; patient attend/escort | 9,022 | $77.05 | $49.74 | $124.48 |
| 90460 | Im admin 1st/only component | 9,010 | $39.03 | $0.00 | $69.24 |
| J2250 | Inj midazolam hydrochloride | 8,857 | $0.34 | $0.00 | $9.68 |
| D7140 | Extraction erupted tooth/exr | 8,811 | $45.14 | $0.00 | $144.00 |
| D2391 | Post 1 srfc resinbased cmpst | 8,553 | $60.87 | $0.00 | $119.62 |
| 99203 | Office o/p new low 30 min | 8,548 | $65.69 | $0.00 | $147.41 |
| 85652 | Rbc sed rate automated | 8,391 | $0.82 | $0.00 | $5.24 |
| T2017 | Habil res waiver 15 min | 8,260 | $6,426.37 | $2,669.00 | $10,374.74 |
| D9310 | Dental consultation | 8,218 | $50.35 | $0.00 | $72.66 |
| 87635 | Sars-cov-2 covid-19 amp prb | 8,199 | $8.04 | $0.00 | $51.86 |
| 3008F | Body mass index docd | 8,045 | $0.00 | $0.00 | $0.00 |
| T2013 | Habil ed waiver per hour | 8,035 | $2,489.43 | $208.01 | $14,516.79 |
| D7210 | Rem imp tooth w mucoper flp | 7,943 | $109.00 | $0.00 | $154.07 |
| 87186 | Sc std microdil/agar dil | 7,822 | $1.22 | $0.00 | $13.54 |
| 83605 | Assay of lactic acid | 7,697 | $0.72 | $0.00 | $10.59 |
| 84703 | Chorionic gonadotropin assay | 7,662 | $1.48 | $0.00 | $9.91 |
| 3074F | Syst bp lt 130 mm hg | 7,622 | $0.00 | $0.00 | $0.00 |