Nevada Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Nevada, based on 2024 claims data.
2024 Overview
Procedures
2.2K
Total Claims
23.3M
Total Paid
$1.2B
Popular Services
Procedures
Showing 1–50 of 2,183 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| T1019 | Personal care ser per 15 min | 1,828,504 | $87.69 | $0.00 | $220.08 |
| 99213 | Office o/p est low 20 min | 646,737 | $50.16 | $0.00 | $141.69 |
| 99214 | Office o/p est mod 30 min | 563,206 | $66.82 | $0.00 | $392.12 |
| 80053 | Comprehen metabolic panel | 376,930 | $4.83 | $0.00 | $172.78 |
| 85025 | Complete cbc w/auto diff wbc | 366,248 | $2.68 | $0.00 | $21.68 |
| 36415 | Coll venous bld venipuncture | 344,524 | $1.28 | $0.00 | $14.89 |
| 97530 | Therapeutic activities | 339,335 | $53.13 | $0.00 | $135.64 |
| 99284 | Emergency dept visit mod mdm | 317,830 | $102.08 | $0.00 | $1,077.78 |
| T1017 | Targeted case management | 295,455 | $134.73 | $0.00 | $1,096.43 |
| H0020 | Alcohol and/or drug services | 294,126 | $5.33 | $0.00 | $100.66 |
| T2016 | Habil res waiver per diem | 292,301 | $344.62 | $114.53 | $722.99 |
| 90837 | Psytx w pt 60 minutes | 261,695 | $81.52 | $0.00 | $153.99 |
| D0230 | Intraoral periapical ea add | 255,135 | $6.64 | $0.00 | $32.50 |
| 99285 | Emergency dept visit hi mdm | 252,556 | $129.10 | $0.00 | $1,331.95 |
| 90999 | Unlisted dialysis procedure | 213,133 | $120.52 | $0.00 | $292.25 |
| 97110 | Therapeutic exercises | 209,286 | $18.28 | $0.00 | $176.50 |
| 92508 | Tx sp lang voice comm group | 205,020 | $15.23 | $0.00 | $20.67 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 204,888 | $39.80 | $0.00 | $96.36 |
| 99283 | Emergency dept visit low mdm | 199,053 | $74.46 | $0.00 | $922.56 |
| 92507 | Tx sp lang voice comm indiv | 189,554 | $53.41 | $0.00 | $70.70 |
| 71045 | X-ray exam chest 1 view | 187,208 | $5.74 | $0.00 | $239.75 |
| Q3014 | Telehealth facility fee | 184,939 | $19.87 | $0.00 | $54.12 |
| 99211 | Off/op est may x req phy/qhp | 177,009 | $14.54 | $0.00 | $114.58 |
| 99233 | Sbsq hosp ip/obs high 50 | 172,689 | $68.62 | $0.00 | $131.73 |
| 81001 | Urinalysis auto w/scope | 165,740 | $1.26 | $0.00 | $28.34 |
| D1206 | Topical fluoride varnish | 165,530 | $39.13 | $0.00 | $56.15 |
| D1351 | Dental sealant per tooth | 163,303 | $21.62 | $0.00 | $56.70 |
| 99308 | Sbsq nf care low mdm 20 | 156,373 | $31.18 | $0.00 | $82.44 |
| 90876 | Psychophysiological therapy | 149,026 | $84.17 | $0.00 | $99.44 |
| 80061 | Lipid panel | 146,135 | $3.65 | $0.00 | $83.82 |
| 97112 | Neuromuscular reeducation | 145,175 | $32.22 | $0.00 | $93.73 |
| D1120 | Dental prophylaxis child | 144,774 | $46.37 | $0.00 | $60.14 |
| 83036 | Hemoglobin glycosylated a1c | 144,495 | $2.37 | $0.00 | $30.23 |
| 85027 | Complete cbc automated | 133,981 | $1.57 | $0.00 | $8.77 |
| 93005 | Electrocardiogram tracing | 130,475 | $4.04 | $0.00 | $71.85 |
| 3008F | Body mass index docd | 129,749 | $0.00 | $0.00 | $9.03 |
| 80307 | Drug test prsmv chem anlyzr | 129,133 | $22.52 | $0.00 | $124.82 |
| A0425 | Ground mileage | 127,132 | $14.25 | $0.00 | $489.67 |
| T1040 | Comm bh clinic svc per diem | 126,028 | $168.27 | $0.00 | $293.48 |
| H2019 | Ther behav svc, per 15 min | 122,342 | $42.03 | $18.69 | $49.48 |
| 3074F | Syst bp lt 130 mm hg | 120,079 | $0.08 | $0.00 | $8.79 |
| D0120 | Periodic oral evaluation | 119,546 | $27.74 | $0.00 | $92.75 |
| D0220 | Intraoral periapical first | 119,113 | $12.60 | $0.00 | $21.95 |
| G0299 | Hhs/hospice of rn ea 15 min | 114,493 | $8.42 | $0.00 | $258.79 |
| 97032 | Appl modality 1+estim ea 15 | 113,392 | $32.72 | $0.00 | $71.20 |
| 98960 | Edu&trn pt self-mgmt nqhp 1 | 112,955 | $41.30 | $0.00 | $80.30 |
| 96374 | Ther/proph/diag inj iv push | 110,385 | $16.26 | $0.00 | $59.98 |
| 84484 | Assay of troponin quant | 106,010 | $3.94 | $0.00 | $30.08 |
| 80048 | Basic metabolic pnl total ca | 102,705 | $4.23 | $0.00 | $53.01 |
| T1015 | Clinic service | 101,358 | $427.03 | $0.00 | $719.00 |