North Dakota Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in North Dakota, based on 2024 claims data.
2024 Overview
Procedures
798
Total Claims
2.8M
Total Paid
$347.1M
Popular Services
Procedures
Showing 1–50 of 798 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| T2016 | Habil res waiver per diem | 290,621 | $395.89 | $222.92 | $7,915.82 |
| T2021 | Day habil waiver per 15 min | 248,384 | $181.48 | $120.69 | $241.09 |
| 99213 | Office o/p est low 20 min | 138,629 | $110.98 | $0.00 | $719.00 |
| H0020 | Alcohol and/or drug services | 113,873 | $10.43 | $0.00 | $20.05 |
| 99214 | Office o/p est mod 30 min | 105,065 | $120.55 | $0.00 | $980.75 |
| 97530 | Therapeutic activities | 90,301 | $61.95 | $3.23 | $155.45 |
| T2019 | Habil sup empl waiver 15min | 80,674 | $80.56 | $14.82 | $157.64 |
| 92507 | Tx sp lang voice comm indiv | 76,888 | $69.15 | $0.00 | $196.66 |
| H2010 | Comprehensive med svc 15 min | 73,228 | $8.73 | $1.92 | $17.17 |
| S5125 | Attendant care service /15m | 53,265 | $177.55 | $0.00 | $350.26 |
| S5111 | Family homecare train/sessio | 50,707 | $146.17 | $80.63 | $156.58 |
| 36415 | Coll venous bld venipuncture | 47,011 | $7.75 | $0.00 | $578.58 |
| G0463 | Hospital outpt clinic visit | 38,194 | $64.17 | $0.00 | $236.76 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 33,844 | $58.33 | $7.63 | $109.62 |
| 99284 | Emergency dept visit mod mdm | 32,612 | $167.63 | $13.13 | $626.17 |
| 99283 | Emergency dept visit low mdm | 30,311 | $174.17 | $29.78 | $719.00 |
| 85025 | Complete cbc w/auto diff wbc | 30,225 | $5.31 | $0.00 | $44.98 |
| 93010 | Electrocardiogram report | 28,159 | $6.87 | $1.61 | $11.48 |
| 80053 | Comprehen metabolic panel | 27,610 | $8.75 | $0.00 | $89.41 |
| T1019 | Personal care ser per 15 min | 27,400 | $137.91 | $68.06 | $205.79 |
| T2017 | Habil res waiver 15 min | 26,192 | $114.03 | $33.69 | $166.06 |
| 98941 | Chiropract manj 3-4 regions | 26,005 | $43.76 | $6.56 | $64.56 |
| 99285 | Emergency dept visit hi mdm | 24,957 | $209.99 | $53.63 | $974.61 |
| 90837 | Psytx w pt 60 minutes | 24,118 | $124.42 | $9.77 | $719.00 |
| H0016 | Alcohol and/or drug services | 22,681 | $88.01 | $20.11 | $104.49 |
| D1206 | Topical fluoride varnish | 22,636 | $29.89 | $0.00 | $700.66 |
| A0100 | Nonemergency transport taxi | 22,433 | $31.01 | $0.00 | $51.90 |
| T2031 | Assist living waiver/diem | 21,635 | $139.42 | $79.45 | $237.75 |
| A0425 | Ground mileage | 21,135 | $92.70 | $0.00 | $702.88 |
| 71045 | X-ray exam chest 1 view | 21,037 | $7.39 | $0.00 | $80.40 |
| 90471 | Immunization admin | 20,452 | $18.70 | $0.00 | $719.00 |
| D0120 | Periodic oral evaluation | 19,539 | $42.22 | $0.00 | $562.08 |
| 90834 | Psytx w pt 45 minutes | 19,460 | $84.30 | $0.00 | $470.79 |
| 92508 | Tx sp lang voice comm group | 17,314 | $22.81 | $9.28 | $26.47 |
| H2036 | A/d tx program, per diem | 17,208 | $573.52 | $169.96 | $1,317.47 |
| 92015 | Determine refractive state | 16,693 | $15.37 | $0.00 | $81.95 |
| D1120 | Dental prophylaxis child | 14,776 | $45.39 | $0.00 | $419.60 |
| 90999 | Unlisted dialysis procedure | 14,481 | $125.99 | $15.40 | $240.97 |
| 90785 | Psytx complex interactive | 13,992 | $11.55 | $0.00 | $17.84 |
| H0004 | Alcohol and/or drug services | 13,450 | $100.49 | $20.86 | $315.35 |
| 97110 | Therapeutic exercises | 12,774 | $29.44 | $3.89 | $90.88 |
| T2025 | Waiver service, nos | 12,682 | $314.93 | $177.81 | $351.41 |
| A0120 | Noner transport mini-bus | 12,512 | $24.51 | $4.33 | $34.70 |
| 90472 | Immunization admin each add | 11,123 | $15.98 | $0.00 | $39.09 |
| S0215 | Nonemerg transp mileage | 11,029 | $65.07 | $44.54 | $253.07 |
| 71046 | X-ray exam chest 2 views | 10,933 | $11.18 | $0.00 | $101.34 |
| 88305 | Tissue exam by pathologist | 10,822 | $51.23 | $0.00 | $296.61 |
| A0080 | Noninterest escort in non er | 10,817 | $30.14 | $11.01 | $36.52 |
| 97112 | Neuromuscular reeducation | 10,208 | $32.18 | $6.69 | $63.07 |
| A0429 | Bls-emergency | 10,021 | $340.29 | $0.00 | $580.81 |