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 51–100 of 798 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| T2003 | N-et; encounter/trip | 10,017 | $14.99 | $14.94 | $15.00 |
| T1017 | Targeted case management | 8,808 | $50.97 | $0.00 | $130.64 |
| D1351 | Dental sealant per tooth | 8,454 | $27.03 | $0.00 | $71.93 |
| A0170 | Transport parking fees/tolls | 8,201 | $17.58 | $1.14 | $123.49 |
| A0427 | Als1-emergency | 7,917 | $384.75 | $0.00 | $1,113.37 |
| S5150 | Unskilled respite care /15m | 7,802 | $153.24 | $8.94 | $230.04 |
| 80061 | Lipid panel | 7,560 | $8.03 | $1.45 | $37.41 |
| 99309 | Sbsq nf care moderate mdm 30 | 7,475 | $40.70 | $5.33 | $172.46 |
| 96127 | Brief emotional/behav assmt | 7,249 | $5.36 | $0.00 | $148.16 |
| T1016 | Case management | 7,142 | $74.64 | $0.00 | $270.77 |
| J1644 | Inj heparin sodium per 1000u | 6,819 | $1.17 | $0.09 | $2.99 |
| 83036 | Hemoglobin glycosylated a1c | 6,816 | $5.20 | $0.81 | $24.01 |
| 90832 | Psytx w pt 30 minutes | 6,313 | $51.44 | $0.00 | $158.77 |
| 97140 | Manual therapy 1/> regions | 6,152 | $21.35 | $11.93 | $51.16 |
| D1110 | Dental prophylaxis adult | 6,136 | $57.80 | $0.00 | $418.74 |
| T1015 | Clinic service | 6,109 | $259.55 | $0.00 | $417.12 |
| T2024 | Serv asmnt/care plan waiver | 6,109 | $435.33 | $181.39 | $524.02 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | 6,084 | $4.27 | $0.00 | $20.19 |
| D0272 | Dental bitewings two images | 6,075 | $27.94 | $0.00 | $74.05 |
| H2035 | A/d tx program, per hour | 5,775 | $111.66 | $35.91 | $334.85 |
| T2047 | Hab prevo waiver per 15 | 5,704 | $72.86 | $24.98 | $92.35 |
| 99391 | Per pm reeval est pat infant | 5,657 | $85.03 | $13.42 | $184.64 |
| A7038 | Pos airway pressure filter | 5,351 | $5.46 | $0.00 | $8.21 |
| 99212 | Office o/p est sf 10 min | 5,307 | $385.40 | $0.00 | $719.00 |
| H2015 | Comp comm supp svc, 15 min | 5,303 | $61.99 | $26.16 | $132.56 |
| 92014 | Compre oph exam est pt 1/> | 5,237 | $96.86 | $30.79 | $322.42 |
| 99215 | Office o/p est hi 40 min | 5,222 | $150.75 | $49.21 | $662.68 |
| 76816 | Ob us follow-up per fetus | 4,984 | $44.76 | $19.32 | $111.91 |
| S5135 | Adult companioncare per 15m | 4,968 | $217.51 | $96.03 | $322.90 |
| 70450 | Ct head/brain w/o dye | 4,896 | $33.26 | $16.47 | $286.97 |
| T1002 | Rn services up to 15 minutes | 4,851 | $31.31 | $8.73 | $63.32 |
| D0150 | Comprehensve oral evaluation | 4,792 | $54.22 | $0.00 | $419.60 |
| 93306 | Tte w/doppler complete | 4,784 | $56.00 | $27.90 | $172.62 |
| 96374 | Ther/proph/diag inj iv push | 4,749 | $38.78 | $0.00 | $284.19 |
| 84443 | Assay thyroid stim hormone | 4,680 | $10.60 | $0.00 | $48.18 |
| J1270 | Injection, doxercalciferol | 4,669 | $0.55 | $0.14 | $3.84 |
| 99233 | Sbsq hosp ip/obs high 50 | 4,666 | $93.78 | $33.75 | $165.25 |
| 77067 | Scr mammo bi incl cad | 4,574 | $47.47 | $13.58 | $114.57 |
| S9475 | Ambulatory setting substance | 4,538 | $502.85 | $298.05 | $578.66 |
| D0140 | Limit oral eval problm focus | 4,504 | $76.64 | $0.00 | $719.00 |
| E0601 | Continuous positive airway pressure (cpap) device | 4,441 | $51.51 | $19.23 | $152.25 |
| 98940 | Chiropract manj 1-2 regions | 4,412 | $32.04 | $12.22 | $46.24 |
| 77063 | Breast tomosynthesis bi | 4,399 | $24.47 | $11.30 | $207.12 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 4,389 | $55.90 | $8.83 | $117.98 |
| 80307 | Drug test prsmv chem anlyzr | 4,310 | $45.25 | $0.00 | $112.32 |
| 74177 | Ct abd & pelvis w/contrast | 4,188 | $76.18 | $43.45 | $321.70 |
| 99392 | Prev visit est age 1-4 | 4,086 | $86.94 | $38.98 | $184.64 |
| 83735 | Assay of magnesium | 4,058 | $3.77 | $0.00 | $39.61 |
| 99223 | 1st hosp ip/obs high 75 | 4,033 | $161.13 | $57.30 | $257.47 |
| H0015 | Alcohol and/or drug services | 4,017 | $238.26 | $46.52 | $598.10 |