Oklahoma Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Oklahoma, based on 2024 claims data.
2024 Overview
Procedures
1.7K
Total Claims
17.0M
Total Paid
$1.5B
Popular Services
Procedures
Showing 1–50 of 1,689 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| H0004 | Alcohol and/or drug services | 1,113,800 | $71.20 | $0.00 | $719.00 |
| 99214 | Office o/p est mod 30 min | 960,824 | $102.19 | $0.00 | $719.00 |
| 99213 | Office o/p est low 20 min | 894,432 | $79.33 | $0.00 | $719.00 |
| T1016 | Case management | 806,099 | $74.35 | $0.00 | $201.49 |
| T1015 | Clinic service | 415,698 | $259.09 | $0.00 | $719.00 |
| S0109 | Methadone oral 5mg | 384,709 | $5.71 | $2.68 | $18.66 |
| 92507 | Tx sp lang voice comm indiv | 334,655 | $65.64 | $37.75 | $76.38 |
| 97530 | Therapeutic activities | 313,975 | $73.61 | $6.11 | $163.37 |
| D0230 | Intraoral periapical ea add | 270,448 | $7.82 | $0.00 | $22.34 |
| D0120 | Periodic oral evaluation | 266,793 | $20.93 | $0.00 | $28.85 |
| D1206 | Topical fluoride varnish | 248,324 | $18.01 | $0.00 | $21.90 |
| 99284 | Emergency dept visit mod mdm | 238,656 | $151.26 | $20.47 | $363.48 |
| D0220 | Intraoral periapical first | 235,192 | $15.23 | $0.00 | $16.79 |
| 99283 | Emergency dept visit low mdm | 227,775 | $136.49 | $17.34 | $396.25 |
| 99212 | Office o/p est sf 10 min | 205,318 | $613.00 | $0.00 | $719.00 |
| D1120 | Dental prophylaxis child | 204,149 | $29.77 | $0.00 | $35.49 |
| 85025 | Complete cbc w/auto diff wbc | 183,601 | $6.27 | $0.00 | $496.88 |
| T1041 | Comm bh clinic svc per month | 174,525 | $977.97 | $438.12 | $1,171.01 |
| 71045 | X-ray exam chest 1 view | 167,865 | $9.83 | $0.00 | $110.32 |
| 87880 | Strep a assay w/optic | 154,146 | $14.16 | $0.00 | $160.06 |
| G9012 | Other specified case mgmt | 149,230 | $287.05 | $242.32 | $580.74 |
| 80053 | Comprehen metabolic panel | 148,624 | $17.26 | $0.00 | $727.28 |
| 99285 | Emergency dept visit hi mdm | 145,545 | $205.65 | $0.00 | $511.31 |
| T1017 | Targeted case management | 138,304 | $33.14 | $5.73 | $719.00 |
| A0425 | Ground mileage | 136,922 | $59.75 | $4.57 | $824.18 |
| H2017 | Psysoc rehab svc, per 15 min | 136,815 | $53.03 | $0.00 | $89.94 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 129,530 | $62.27 | $6.84 | $256.23 |
| 36415 | Coll venous bld venipuncture | 128,360 | $23.38 | $0.00 | $1,436.17 |
| 87804 | Influenza assay w/optic | 127,766 | $26.23 | $0.00 | $106.94 |
| D1110 | Dental prophylaxis adult | 117,137 | $45.53 | $0.00 | $52.11 |
| D0274 | Bitewings four images | 113,705 | $30.57 | $0.00 | $33.57 |
| T1019 | Personal care ser per 15 min | 109,796 | $63.17 | $55.12 | $98.42 |
| 90471 | Immunization admin | 98,701 | $18.75 | $0.00 | $179.75 |
| T2017 | Habil res waiver 15 min | 93,106 | $184.40 | $111.67 | $1,905.48 |
| T1000 | Private duty/independent nsg | 91,541 | $392.82 | $238.61 | $6,225.71 |
| D2392 | Post 2 srfc resinbased cmpst | 91,107 | $121.70 | $0.00 | $134.28 |
| 92015 | Determine refractive state | 90,284 | $17.76 | $0.00 | $34.09 |
| D0330 | Panoramic image | 89,899 | $49.44 | $0.00 | $94.00 |
| 99233 | Sbsq hosp ip/obs high 50 | 84,188 | $92.95 | $9.66 | $257.10 |
| 99308 | Sbsq nf care low mdm 20 | 82,728 | $24.21 | $0.00 | $141.13 |
| D0150 | Comprehensve oral evaluation | 81,175 | $30.66 | $0.00 | $35.32 |
| A0427 | Als1-emergency | 80,937 | $258.81 | $44.78 | $346.64 |
| 99204 | Office o/p new mod 45 min | 79,876 | $149.88 | $0.00 | $275.97 |
| H2015 | Comp comm supp svc, 15 min | 73,919 | $56.44 | $0.00 | $719.00 |
| 80307 | Drug test prsmv chem anlyzr | 73,434 | $52.75 | $0.00 | $320.79 |
| A0100 | Nonemergency transport taxi | 72,396 | $5.01 | $1.63 | $58.98 |
| D0272 | Dental bitewings two images | 69,864 | $17.96 | $0.00 | $20.14 |
| 87811 | Sars-cov-2 covid19 w/optic | 69,202 | $35.10 | $0.00 | $46.99 |
| 99203 | Office o/p new low 30 min | 67,920 | $99.11 | $0.00 | $242.45 |
| 80061 | Lipid panel | 67,845 | $11.32 | $0.00 | $64.91 |