Nebraska Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Nebraska, based on 2024 claims data.
2024 Overview
Procedures
1.1K
Total Claims
5.1M
Total Paid
$315.4M
Popular Services
Procedures
Showing 1–50 of 1,125 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99213 | Office o/p est low 20 min | 418,188 | $68.42 | $0.00 | $346.83 |
| 99214 | Office o/p est mod 30 min | 325,332 | $77.28 | $0.00 | $356.93 |
| D1206 | Topical fluoride varnish | 132,221 | $25.53 | $0.00 | $51.15 |
| 99284 | Emergency dept visit mod mdm | 119,970 | $116.57 | $0.00 | $478.23 |
| D0120 | Periodic oral evaluation | 111,922 | $27.80 | $0.00 | $56.42 |
| 90834 | Psytx w pt 45 minutes | 111,134 | $114.90 | $0.00 | $309.09 |
| 98941 | Chiropract manj 3-4 regions | 110,681 | $26.80 | $2.55 | $33.25 |
| 90837 | Psytx w pt 60 minutes | 110,245 | $150.27 | $0.00 | $276.59 |
| 36415 | Coll venous bld venipuncture | 96,090 | $4.86 | $0.00 | $306.43 |
| D1120 | Dental prophylaxis child | 95,808 | $33.30 | $0.00 | $67.73 |
| 99283 | Emergency dept visit low mdm | 95,504 | $127.24 | $0.00 | $469.22 |
| 97530 | Therapeutic activities | 91,029 | $38.82 | $0.00 | $94.31 |
| T1015 | Clinic service | 77,356 | $273.71 | $0.00 | $719.00 |
| 97110 | Therapeutic exercises | 74,833 | $24.01 | $0.96 | $293.15 |
| 85025 | Complete cbc w/auto diff wbc | 71,561 | $2.95 | $0.00 | $61.26 |
| D0230 | Intraoral periapical ea add | 70,845 | $4.78 | $0.00 | $15.37 |
| A0425 | Ground mileage | 64,073 | $38.92 | $0.00 | $419.33 |
| 92015 | Determine refractive state | 62,890 | $14.16 | $0.00 | $19.56 |
| 92507 | Tx sp lang voice comm indiv | 61,169 | $43.78 | $0.00 | $272.88 |
| 80053 | Comprehen metabolic panel | 59,905 | $4.62 | $0.00 | $442.41 |
| 71045 | X-ray exam chest 1 view | 59,293 | $13.31 | $0.00 | $147.32 |
| 93010 | Electrocardiogram report | 59,252 | $15.11 | $1.38 | $26.03 |
| D1351 | Dental sealant per tooth | 59,231 | $31.03 | $0.00 | $59.72 |
| D0220 | Intraoral periapical first | 50,165 | $6.72 | $0.00 | $14.34 |
| G0463 | Hospital outpt clinic visit | 47,556 | $29.20 | $0.00 | $224.02 |
| 98940 | Chiropract manj 1-2 regions | 43,139 | $28.90 | $13.02 | $33.64 |
| D0272 | Dental bitewings two images | 42,745 | $16.86 | $0.00 | $28.43 |
| 97112 | Neuromuscular reeducation | 42,558 | $23.86 | $2.58 | $95.80 |
| D1110 | Dental prophylaxis adult | 39,097 | $39.55 | $0.00 | $78.93 |
| V2020 | Vision svcs frames purchases | 34,821 | $22.24 | $0.00 | $62.12 |
| J3490 | Drugs unclassified injection | 34,245 | $4.21 | $0.00 | $2,020.83 |
| D0274 | Bitewings four images | 33,974 | $20.70 | $0.00 | $46.37 |
| 92340 | Fit spectacles monofocal | 32,910 | $39.90 | $0.00 | $84.56 |
| H2015 | Comp comm supp svc, 15 min | 32,156 | $116.05 | $26.78 | $196.62 |
| 99285 | Emergency dept visit hi mdm | 32,086 | $121.18 | $13.25 | $354.89 |
| S0215 | Nonemerg transp mileage | 30,440 | $28.54 | $0.00 | $37.90 |
| T2003 | N-et; encounter/trip | 30,420 | $4.30 | $0.00 | $10.00 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 29,862 | $41.07 | $2.57 | $65.64 |
| A0428 | Bls | 29,266 | $62.82 | $0.00 | $138.81 |
| D0150 | Comprehensve oral evaluation | 27,118 | $28.37 | $0.00 | $54.76 |
| J8499 | Oral prescrip drug non chemo | 26,439 | $0.61 | $0.00 | $113.83 |
| 97012 | Mechanical traction therapy | 26,431 | $18.49 | $7.25 | $20.56 |
| 92014 | Compre oph exam est pt 1/> | 26,403 | $56.37 | $0.00 | $101.78 |
| 90999 | Unlisted dialysis procedure | 23,262 | $45.62 | $2.46 | $99.06 |
| 71046 | X-ray exam chest 2 views | 23,003 | $14.74 | $0.00 | $50.53 |
| A0429 | Bls-emergency | 22,595 | $132.45 | $21.10 | $198.62 |
| D0330 | Panoramic image | 21,723 | $34.78 | $0.00 | $82.85 |
| H2018 | Psysoc rehab svc, per diem | 21,595 | $204.61 | $71.84 | $9,468.87 |
| 99309 | Sbsq nf care moderate mdm 30 | 21,192 | $28.19 | $0.00 | $91.97 |
| H2016 | Comp comm supp svc, per diem | 20,615 | $297.34 | $292.12 | $301.45 |