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 51–100 of 1,689 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 96127 | Brief emotional/behav assmt | 67,291 | $5.37 | $0.00 | $719.00 |
| 93010 | Electrocardiogram report | 67,272 | $7.08 | $0.60 | $15.87 |
| D1208 | Topical app fluorid ex vrnsh | 65,318 | $15.07 | $0.00 | $16.79 |
| V2020 | Vision svcs frames purchases | 64,966 | $10.04 | $7.75 | $37.65 |
| D2930 | Prefab stnlss steel crwn pri | 64,927 | $119.63 | $94.34 | $121.95 |
| 83036 | Hemoglobin glycosylated a1c | 64,174 | $7.88 | $0.00 | $44.34 |
| 99309 | Sbsq nf care moderate mdm 30 | 63,629 | $30.66 | $5.09 | $209.24 |
| T4541 | Large disposable underpad | 63,462 | $53.15 | $24.75 | $111.98 |
| T4535 | Disposable liner/shield/pad | 62,882 | $61.65 | $35.40 | $128.19 |
| 87426 | Sarscov coronavirus ag ia | 61,090 | $30.84 | $0.00 | $219.61 |
| 92340 | Fit spectacles monofocal | 57,473 | $30.12 | $25.64 | $55.99 |
| 99391 | Per pm reeval est pat infant | 56,238 | $99.75 | $0.00 | $294.66 |
| 90472 | Immunization admin each add | 54,175 | $26.57 | $0.00 | $65.72 |
| 99392 | Prev visit est age 1-4 | 53,984 | $100.97 | $0.00 | $294.66 |
| D7140 | Extraction erupted tooth/exr | 53,647 | $67.81 | $38.41 | $73.85 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 53,146 | $52.84 | $13.87 | $154.75 |
| 3008F | Body mass index docd | 52,951 | $0.00 | $0.00 | $4.05 |
| 92014 | Compre oph exam est pt 1/> | 52,552 | $102.36 | $0.00 | $206.37 |
| D9230 | Analgesia | 52,076 | $27.40 | $0.00 | $158.40 |
| D0140 | Limit oral eval problm focus | 51,308 | $30.59 | $11.39 | $49.00 |
| 97533 | Sensory integration | 49,751 | $86.45 | $41.13 | $220.48 |
| D7210 | Rem imp tooth w mucoper flp | 48,911 | $127.60 | $54.81 | $134.28 |
| 92508 | Tx sp lang voice comm group | 47,804 | $20.95 | $17.95 | $69.44 |
| 90460 | Im admin 1st/only component | 47,765 | $37.56 | $0.00 | $114.22 |
| V2784 | Lens polycarb or equal | 47,424 | $0.06 | $0.00 | $14.78 |
| 81001 | Urinalysis auto w/scope | 47,083 | $6.75 | $0.00 | $424.19 |
| 84443 | Assay thyroid stim hormone | 44,628 | $13.87 | $0.00 | $48.44 |
| D1351 | Dental sealant per tooth | 42,801 | $23.60 | $0.00 | $24.39 |
| 80050 | General health panel | 42,151 | $30.98 | $13.67 | $80.40 |
| 71046 | X-ray exam chest 2 views | 41,083 | $13.24 | $2.15 | $305.61 |
| D2393 | Post 3 srfc resinbased cmpst | 38,996 | $166.79 | $87.04 | $180.36 |
| A4351 | Straight tip urine catheter | 36,942 | $96.21 | $84.18 | $232.70 |
| 3074F | Syst bp lt 130 mm hg | 35,282 | $0.00 | $0.00 | $6.90 |
| 87086 | Urine culture/colony count | 34,953 | $7.27 | $1.07 | $67.74 |
| A0429 | Bls-emergency | 34,582 | $220.45 | $45.40 | $286.53 |
| T1002 | Rn services up to 15 minutes | 34,183 | $94.73 | $16.78 | $127.50 |
| 1111F | Dschrg med/current med merge | 33,686 | $0.00 | $0.00 | $0.01 |
| 97803 | Med nutrition indiv subseq | 33,268 | $90.67 | $0.00 | $719.00 |
| 96110 | Developmental screen w/score | 31,744 | $14.20 | $0.00 | $170.33 |
| 96374 | Ther/proph/diag inj iv push | 31,706 | $136.27 | $13.12 | $662.90 |
| G0151 | Hhcp-serv of pt,ea 15 min | 31,213 | $75.00 | $36.55 | $133.71 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, | 31,164 | $11.48 | $2.71 | $27.88 |
| 97153 | Adaptive behavior tx by tech | 31,094 | $128.74 | $55.41 | $450.51 |
| 95117 | Immunotherapy injections | 30,909 | $9.29 | $4.72 | $18.43 |
| 3078F | Diast bp <80 mm hg | 30,587 | $0.00 | $0.00 | $0.00 |
| 96160 | Pt-focused hlth risk assmt | 29,685 | $2.81 | $0.00 | $241.33 |
| 99393 | Prev visit est age 5-11 | 29,467 | $96.33 | $0.00 | $245.07 |
| 70450 | Ct head/brain w/o dye | 29,238 | $38.72 | $6.29 | $172.44 |
| 92004 | Compre oph exam new pt 1/> | 28,778 | $124.04 | $0.00 | $243.71 |
| A0090 | Interest escort in non er | 27,737 | $21.87 | $14.15 | $46.88 |