Ohio Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Ohio, based on 2024 claims data.
2024 Overview
Procedures
3.5K
Total Claims
130.0M
Total Paid
$7.0B
Popular Services
Procedures
Showing 1–50 of 3,490 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| G0156 | Hhcp-svs of aide,ea 15 min | 5,346,655 | $48.70 | $6.44 | $88.51 |
| T1019 | Personal care ser per 15 min | 5,276,607 | $121.44 | $0.00 | $257.59 |
| 99213 | Office o/p est low 20 min | 4,362,435 | $52.79 | $0.00 | $260.00 |
| 99214 | Office o/p est mod 30 min | 3,936,625 | $71.06 | $0.00 | $615.67 |
| H2019 | Ther behav svc, per 15 min | 2,894,390 | $100.48 | $0.00 | $1,575.15 |
| 36415 | Coll venous bld venipuncture | 2,705,478 | $2.21 | $0.00 | $27.43 |
| 85025 | Complete cbc w/auto diff wbc | 2,418,037 | $3.27 | $0.00 | $84.33 |
| 80053 | Comprehen metabolic panel | 1,968,994 | $7.10 | $0.00 | $94.37 |
| 90837 | Psytx w pt 60 minutes | 1,728,292 | $99.09 | $0.00 | $222.68 |
| H0015 | Alcohol and/or drug services | 1,630,434 | $161.52 | $0.00 | $707.15 |
| G0463 | Hospital outpt clinic visit | 1,623,977 | $102.70 | $0.00 | $779.78 |
| 99284 | Emergency dept visit mod mdm | 1,468,003 | $96.49 | $2.86 | $1,300.86 |
| H0036 | Comm psy face-face per 15min | 1,197,435 | $67.21 | $0.00 | $228.99 |
| T2046 | Hospice long term care, r&b | 1,176,984 | $224.70 | $0.00 | $6,347.30 |
| S5170 | Homedelivered prepared meal | 1,117,396 | $47.30 | $7.72 | $419.08 |
| H0020 | Alcohol and/or drug services | 1,085,837 | $46.89 | $0.00 | $550.00 |
| 80061 | Lipid panel | 1,044,905 | $7.73 | $0.00 | $76.31 |
| 99283 | Emergency dept visit low mdm | 1,030,385 | $106.06 | $5.65 | $1,066.46 |
| 99285 | Emergency dept visit hi mdm | 981,742 | $111.76 | $0.00 | $1,265.38 |
| 83036 | Hemoglobin glycosylated a1c | 977,079 | $5.25 | $0.00 | $37.24 |
| 84443 | Assay thyroid stim hormone | 915,805 | $10.13 | $0.00 | $97.91 |
| 1036F | Tobacco non-user | 908,369 | $0.00 | $0.00 | $4.95 |
| 3074F | Syst bp lt 130 mm hg | 895,314 | $0.01 | $0.00 | $11.14 |
| V2020 | Vision svcs frames purchases | 888,032 | $9.43 | $0.00 | $76.26 |
| H0048 | Spec coll non-blood:a/d test | 848,990 | $14.55 | $0.00 | $24.35 |
| T1015 | Clinic service | 824,546 | $75.23 | $0.00 | $307.96 |
| 97110 | Therapeutic exercises | 815,080 | $67.15 | $0.00 | $589.22 |
| G0300 | Hhs/hospice of lpn ea 15 min | 807,621 | $52.57 | $0.00 | $206.03 |
| 80048 | Basic metabolic pnl total ca | 805,727 | $4.59 | $0.00 | $45.57 |
| G0299 | Hhs/hospice of rn ea 15 min | 803,285 | $60.56 | $0.00 | $209.62 |
| 71045 | X-ray exam chest 1 view | 752,138 | $4.83 | $0.00 | $74.61 |
| 3078F | Diast bp <80 mm hg | 751,917 | $0.01 | $0.00 | $11.40 |
| H0006 | Alcohol and/or drug services | 744,371 | $55.38 | $1.56 | $202.39 |
| V2784 | Lens polycarb or equal | 722,094 | $5.94 | $0.00 | $58.00 |
| 3008F | Body mass index docd | 693,960 | $0.07 | $0.00 | $10.50 |
| 81001 | Urinalysis auto w/scope | 679,603 | $1.30 | $0.00 | $14.74 |
| 80307 | Drug test prsmv chem anlyzr | 654,306 | $37.53 | $0.00 | $302.35 |
| 92507 | Tx sp lang voice comm indiv | 651,416 | $74.57 | $0.00 | $321.91 |
| H2020 | Ther behav svc, per diem | 645,407 | $177.65 | $0.00 | $385.51 |
| 90460 | Im admin 1st/only component | 626,721 | $13.90 | $0.00 | $67.36 |
| 97530 | Therapeutic activities | 621,915 | $53.83 | $0.00 | $309.09 |
| 93005 | Electrocardiogram tracing | 594,550 | $3.21 | $0.00 | $37.07 |
| 82306 | Vitamin d 25 hydroxy | 594,337 | $14.68 | $0.00 | $127.29 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 587,520 | $9.54 | $0.00 | $45.00 |
| 90999 | Unlisted dialysis procedure | 570,518 | $92.27 | $10.92 | $265.76 |
| 90832 | Psytx w pt 30 minutes | 565,997 | $47.49 | $0.00 | $167.71 |
| 87086 | Urine culture/colony count | 563,836 | $5.06 | $0.00 | $41.31 |
| 85027 | Complete cbc automated | 562,551 | $3.88 | $0.00 | $37.20 |
| D0120 | Periodic oral evaluation | 533,793 | $30.99 | $0.00 | $152.00 |
| 83735 | Assay of magnesium | 522,685 | $2.67 | $0.00 | $28.07 |