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 101–150 of 3,490 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| J1100 | Dexamethasone sodium phos | 267,640 | $0.21 | $0.00 | $9.31 |
| D7140 | Extraction erupted tooth/exr | 263,017 | $124.14 | $0.00 | $1,212.83 |
| G9006 | Mccd, home monitoring | 262,807 | $0.00 | $0.00 | $0.00 |
| 83550 | Iron binding test | 262,199 | $4.66 | $0.00 | $59.29 |
| 3079F | Diast bp 80-89 mm hg | 257,430 | $0.02 | $0.00 | $5.29 |
| T1016 | Case management | 257,430 | $39.34 | $0.00 | $79.23 |
| V2100 | Lens spher single plano 4.00 | 257,282 | $10.87 | $0.00 | $49.73 |
| 98941 | Chiropract manj 3-4 regions | 256,494 | $18.73 | $0.95 | $48.55 |
| G0378 | Hospital observation per hr | 255,896 | $137.39 | $0.00 | $1,015.46 |
| 99308 | Sbsq nf care low mdm 20 | 255,705 | $12.46 | $0.00 | $60.80 |
| 1160F | Rvw meds by rx/dr in rcrd | 253,871 | $0.00 | $0.00 | $1.42 |
| T1000 | Private duty/independent nsg | 253,141 | $406.28 | $189.28 | $516.66 |
| J3490 | Drugs unclassified injection | 251,588 | $2.83 | $0.00 | $125.65 |
| J7030 | Normal saline solution infus | 250,498 | $0.31 | $0.00 | $10.49 |
| T1002 | Rn services up to 15 minutes | 248,840 | $52.81 | $0.00 | $312.24 |
| 99391 | Per pm reeval est pat infant | 244,760 | $63.65 | $0.00 | $135.00 |
| 92015 | Determine refractive state | 243,961 | $9.41 | $0.00 | $30.03 |
| 97140 | Manual therapy 1/> regions | 243,616 | $37.84 | $0.00 | $362.35 |
| 87661 | Trichomonas vaginalis amplif | 243,278 | $12.87 | $0.00 | $42.79 |
| 82570 | Assay of urine creatinine | 243,040 | $4.28 | $0.00 | $29.55 |
| 99215 | Office o/p est hi 40 min | 242,708 | $106.58 | $0.00 | $383.72 |
| 87804 | Influenza assay w/optic | 240,340 | $7.27 | $0.00 | $29.27 |
| 99233 | Sbsq hosp ip/obs high 50 | 239,736 | $35.74 | $0.00 | $191.41 |
| 87880 | Strep a assay w/optic | 239,063 | $8.41 | $0.00 | $57.59 |
| 97112 | Neuromuscular reeducation | 232,275 | $38.44 | $0.00 | $238.61 |
| A0120 | Noner transport mini-bus | 231,993 | $58.77 | $51.41 | $62.57 |
| D0274 | Bitewings four images | 231,070 | $33.66 | $0.00 | $60.75 |
| J3010 | Fentanyl citrate injection | 230,744 | $0.15 | $0.00 | $9.50 |
| G8484 | Influenza immunization was not administered, reason not given | 230,419 | $0.00 | $0.00 | $0.00 |
| D1351 | Dental sealant per tooth | 226,924 | $39.12 | $0.00 | $579.90 |
| D2392 | Post 2 srfc resinbased cmpst | 214,201 | $99.69 | $0.00 | $578.38 |
| 99203 | Office o/p new low 30 min | 214,111 | $49.35 | $0.00 | $260.00 |
| 82746 | Assay of folic acid serum | 209,773 | $7.35 | $0.00 | $59.75 |
| H0038 | Self-help/peer svc per 15min | 206,735 | $65.73 | $0.00 | $267.60 |
| 96365 | Ther/proph/diag iv inf init | 203,834 | $136.80 | $7.10 | $2,035.38 |
| 80076 | Hepatic function panel | 203,070 | $4.39 | $0.00 | $39.05 |
| 99282 | Emergency dept visit sf mdm | 199,766 | $114.43 | $11.43 | $1,234.28 |
| T1502 | Medication admin visit | 199,388 | $170.68 | $11.28 | $580.06 |
| 99393 | Prev visit est age 5-11 | 197,991 | $72.76 | $0.00 | $144.37 |
| 90471 | Immunization admin | 197,374 | $4.36 | $0.00 | $30.16 |
| 96127 | Brief emotional/behav assmt | 196,535 | $28.06 | $0.00 | $90.37 |
| 86140 | C-reactive protein | 195,820 | $5.67 | $0.00 | $60.92 |
| 99204 | Office o/p new mod 45 min | 195,647 | $76.07 | $0.00 | $215.93 |
| 99490 | Chrnc care mgmt staff 1st 20 | 193,571 | $3.26 | $0.00 | $37.80 |
| 86592 | Syphilis test non-trep qual | 190,011 | $4.09 | $0.00 | $35.94 |
| 85018 | Hemoglobin | 188,519 | $1.36 | $0.00 | $34.20 |
| G2211 | Complex e/m visit add on | 186,706 | $0.36 | $0.00 | $23.33 |
| 87340 | Hepatitis b surface ag ia | 185,370 | $7.06 | $0.00 | $24.59 |
| D0272 | Dental bitewings two images | 185,029 | $18.11 | $0.00 | $35.33 |
| D0330 | Panoramic image | 184,140 | $79.19 | $0.00 | $200.00 |