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 101–150 of 1,125 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 93306 | Tte w/doppler complete | 9,833 | $86.51 | $6.74 | $421.75 |
| V2784 | Lens polycarb or equal | 9,802 | $13.16 | $0.00 | $44.00 |
| 85018 | Hemoglobin | 9,672 | $1.83 | $0.00 | $6.51 |
| A7038 | Pos airway pressure filter | 9,410 | $3.58 | $0.17 | $12.06 |
| 87804 | Influenza assay w/optic | 9,308 | $15.92 | $5.13 | $50.53 |
| 76816 | Ob us follow-up per fetus | 9,241 | $70.80 | $21.51 | $137.73 |
| J7030 | Normal saline solution infus | 8,885 | $0.28 | $0.00 | $58.19 |
| H2017 | Psysoc rehab svc, per 15 min | 8,823 | $38.18 | $27.18 | $58.31 |
| 99310 | Sbsq nf care high mdm 45 | 8,762 | $31.76 | $0.00 | $160.26 |
| 99393 | Prev visit est age 5-11 | 8,646 | $92.52 | $0.00 | $229.88 |
| 81001 | Urinalysis auto w/scope | 8,353 | $0.54 | $0.00 | $32.49 |
| S0209 | Wc van mileage per mi | 8,250 | $24.32 | $0.00 | $824.37 |
| 90792 | Psych diag eval w/med srvcs | 8,247 | $247.65 | $0.00 | $347.45 |
| 99490 | Chrnc care mgmt staff 1st 20 | 8,193 | $60.54 | $0.00 | $190.26 |
| A0130 | Noner transport wheelch van | 8,105 | $15.72 | $0.00 | $22.03 |
| D7210 | Rem imp tooth w mucoper flp | 8,056 | $119.39 | $0.00 | $176.13 |
| 96127 | Brief emotional/behav assmt | 7,801 | $26.46 | $0.00 | $117.24 |
| 11721 | Debride nail 6 or more | 7,482 | $19.13 | $0.00 | $41.34 |
| D0210 | Intraor comprehensive series | 7,456 | $58.34 | $0.00 | $110.50 |
| 80061 | Lipid panel | 7,222 | $6.63 | $0.00 | $55.91 |
| 99308 | Sbsq nf care low mdm 20 | 7,137 | $15.76 | $0.00 | $91.60 |
| D1354 | Int caries med app per tooth | 7,003 | $11.95 | $0.00 | $18.89 |
| D0145 | Oral evaluation, pt < 3yrs | 6,973 | $52.64 | $0.00 | $74.27 |
| A4657 | Syringe w/wo needle | 6,835 | $0.00 | $0.00 | $0.01 |
| 96110 | Developmental screen w/score | 6,569 | $18.97 | $6.51 | $63.14 |
| 77067 | Scr mammo bi incl cad | 6,390 | $30.79 | $15.32 | $144.07 |
| 0502F | Subsequent prenatal care | 6,321 | $0.00 | $0.00 | $0.01 |
| G8427 | Docrev cur meds by elig clin | 6,211 | $0.00 | $0.00 | $0.11 |
| 96372 | Ther/proph/diag inj sc/im | 6,179 | $6.36 | $0.00 | $45.46 |
| 77063 | Breast tomosynthesis bi | 6,175 | $39.52 | $8.08 | $88.62 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 6,133 | $26.70 | $1.33 | $71.34 |
| 36416 | Collj capillary blood spec | 6,054 | $0.07 | $0.00 | $1.77 |
| 90853 | Group psychotherapy | 6,024 | $25.57 | $0.00 | $74.73 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, | 5,884 | $10.02 | $0.54 | $34.36 |
| 99394 | Prev visit est age 12-17 | 5,813 | $98.78 | $0.00 | $214.00 |
| D7240 | Impact tooth remov comp bony | 5,637 | $291.17 | $110.50 | $389.97 |
| 90686 | Iiv4 vacc no prsv 0.5 ml im | 5,582 | $12.21 | $0.00 | $20.43 |
| E0601 | Continuous positive airway pressure (cpap) device | 5,484 | $32.20 | $2.45 | $109.81 |
| 84443 | Assay thyroid stim hormone | 5,377 | $10.01 | $0.00 | $22.55 |
| 80048 | Basic metabolic pnl total ca | 5,147 | $2.49 | $0.00 | $34.89 |
| 99239 | Hosp ip/obs dschrg mgmt >30 | 5,101 | $79.73 | $35.90 | $142.93 |
| 1160F | Rvw meds by rx/dr in rcrd | 5,050 | $0.00 | $0.00 | $0.01 |
| 83690 | Assay of lipase | 4,908 | $0.22 | $0.00 | $14.67 |
| 96375 | Tx/pro/dx inj new drug addon | 4,875 | $1.06 | $0.00 | $32.93 |
| 92567 | Tympanometry | 4,782 | $20.25 | $4.42 | $56.18 |
| 81003 | Urinalysis auto w/o scope | 4,766 | $1.30 | $0.00 | $25.70 |
| 73630 | X-ray exam of foot | 4,743 | $12.76 | $3.12 | $51.07 |
| 92134 | Cptrz oph dx img pst sgm rta | 4,737 | $17.99 | $6.68 | $66.89 |
| 90648 | Hib prp-t vaccine 4 dose im | 4,699 | $13.72 | $0.00 | $19.82 |
| S5105 | Centerbased day care perdiem | 4,674 | $11.16 | $10.87 | $11.60 |