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 51–100 of 3,490 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99232 | Sbsq hosp ip/obs moderate 35 | 513,569 | $25.11 | $0.00 | $183.79 |
| 71046 | X-ray exam chest 2 views | 509,310 | $12.82 | $0.00 | $164.43 |
| 93010 | Electrocardiogram report | 476,381 | $6.45 | $0.00 | $12.67 |
| H2036 | A/d tx program, per diem | 473,203 | $241.18 | $78.16 | $7,166.64 |
| A4657 | Syringe w/wo needle | 471,569 | $0.03 | $0.00 | $80.26 |
| J2405 | Ondansetron hcl injection | 448,558 | $0.08 | $0.00 | $11.69 |
| 84484 | Assay of troponin quant | 448,535 | $1.10 | $0.00 | $47.22 |
| 96374 | Ther/proph/diag inj iv push | 441,098 | $4.28 | $0.00 | $91.13 |
| H0005 | Alcohol and/or drug services | 434,299 | $48.71 | $5.72 | $161.65 |
| 90834 | Psytx w pt 45 minutes | 430,979 | $69.98 | $0.00 | $234.79 |
| 96372 | Ther/proph/diag inj sc/im | 425,471 | $10.02 | $0.00 | $81.18 |
| A0425 | Ground mileage | 424,735 | $34.24 | $0.00 | $436.60 |
| G8427 | Docrev cur meds by elig clin | 400,295 | $0.00 | $0.00 | $1.39 |
| D1120 | Dental prophylaxis child | 391,332 | $35.73 | $0.00 | $82.63 |
| 84439 | Assay of free thyroxine | 384,025 | $7.85 | $0.00 | $96.37 |
| 96375 | Tx/pro/dx inj new drug addon | 381,989 | $3.15 | $0.00 | $83.87 |
| D0230 | Intraoral periapical ea add | 377,492 | $9.06 | $0.00 | $81.81 |
| 87491 | Chlmyd trach dna amp probe | 376,064 | $18.09 | $0.00 | $56.35 |
| 87591 | N.gonorrhoeae dna amp prob | 372,975 | $14.85 | $0.00 | $44.15 |
| H2017 | Psysoc rehab svc, per 15 min | 371,709 | $66.13 | $0.00 | $243.78 |
| J1885 | Ketorolac tromethamine inj | 370,946 | $0.16 | $0.00 | $12.71 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and | 370,224 | $76.02 | $0.00 | $96.07 |
| 81025 | Urine pregnancy test | 364,244 | $1.93 | $0.00 | $59.98 |
| 82607 | Vitamin b-12 | 361,119 | $9.55 | $0.00 | $89.24 |
| D0220 | Intraoral periapical first | 337,527 | $9.17 | $0.00 | $30.00 |
| 99309 | Sbsq nf care moderate mdm 30 | 337,112 | $16.31 | $0.00 | $79.12 |
| 81003 | Urinalysis auto w/o scope | 329,462 | $1.29 | $0.00 | $42.57 |
| J1644 | Inj heparin sodium per 1000u | 328,018 | $0.08 | $0.00 | $20.69 |
| 83690 | Assay of lipase | 327,499 | $0.96 | $0.00 | $16.13 |
| 87389 | Hiv-1 ag w/hiv-1&-2 ab ag ia | 326,552 | $20.65 | $0.00 | $55.21 |
| 83540 | Assay of iron | 321,425 | $4.59 | $0.00 | $68.52 |
| D0150 | Comprehensve oral evaluation | 319,824 | $46.16 | $0.00 | $525.00 |
| D1206 | Topical fluoride varnish | 319,332 | $26.07 | $0.00 | $41.46 |
| 70450 | Ct head/brain w/o dye | 317,267 | $170.70 | $2.33 | $734.37 |
| D1110 | Dental prophylaxis adult | 312,158 | $59.06 | $0.00 | $400.77 |
| 82728 | Assay of ferritin | 307,602 | $8.98 | $0.00 | $113.47 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 307,381 | $0.41 | $0.00 | $102.06 |
| 1159F | Med list docd in rcrd | 306,920 | $0.00 | $0.00 | $9.86 |
| 74177 | Ct abd & pelvis w/contrast | 305,768 | $184.98 | $0.00 | $1,449.86 |
| 99212 | Office o/p est sf 10 min | 303,090 | $62.07 | $0.00 | $181.79 |
| 85610 | Prothrombin time | 302,170 | $2.18 | $0.00 | $16.36 |
| 92508 | Tx sp lang voice comm group | 298,301 | $19.96 | $0.00 | $170.67 |
| 99211 | Off/op est may x req phy/qhp | 297,829 | $77.70 | $0.00 | $224.28 |
| 86803 | Hepatitis c ab test | 289,569 | $9.41 | $0.00 | $36.01 |
| 87651 | Strep a dna amp probe | 287,053 | $9.71 | $0.00 | $54.01 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 286,425 | $42.69 | $1.72 | $102.48 |
| 96361 | Hydrate iv infusion add-on | 283,183 | $340.71 | $0.00 | $3,225.11 |
| 99392 | Prev visit est age 1-4 | 273,774 | $68.38 | $0.00 | $143.69 |
| J2704 | Inj, propofol, 10 mg | 271,077 | $0.23 | $0.00 | $14.65 |
| 88305 | Tissue exam by pathologist | 268,442 | $29.19 | $0.00 | $172.20 |