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 101–150 of 1,689 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 93005 | Electrocardiogram tracing | 27,499 | $4.59 | $0.70 | $21.84 |
| S0215 | Nonemerg transp mileage | 27,359 | $129.62 | $9.15 | $490.66 |
| 87428 | Sarscov & inf vir a&b ag ia | 27,110 | $26.70 | $0.00 | $147.12 |
| 74177 | Ct abd & pelvis w/contrast | 27,064 | $87.42 | $6.18 | $251.04 |
| 99215 | Office o/p est hi 40 min | 26,416 | $156.58 | $0.00 | $298.10 |
| 99223 | 1st hosp ip/obs high 75 | 26,406 | $145.74 | $15.07 | $291.85 |
| T4527 | Adult size pull-on lg | 25,963 | $108.03 | $59.91 | $220.93 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 25,732 | $25.03 | $16.15 | $41.10 |
| 99231 | Sbsq hosp ip/obs sf/low 25 | 25,486 | $43.21 | $4.35 | $83.48 |
| V2100 | Lens spher single plano 4.00 | 25,475 | $26.42 | $0.46 | $41.15 |
| 88305 | Tissue exam by pathologist | 25,395 | $67.72 | $12.68 | $631.80 |
| 97110 | Therapeutic exercises | 24,892 | $35.74 | $6.88 | $83.60 |
| A4335 | Incontinence supply | 24,571 | $43.44 | $3.87 | $64.00 |
| 87491 | Chlmyd trach dna amp probe | 24,358 | $31.51 | $0.00 | $89.58 |
| 87591 | N.gonorrhoeae dna amp prob | 24,287 | $31.04 | $0.00 | $72.82 |
| D2391 | Post 1 srfc resinbased cmpst | 24,226 | $60.69 | $0.00 | $66.54 |
| H0035 | Mh partial hosp tx under 24h | 23,258 | $160.29 | $146.70 | $161.19 |
| 84439 | Assay of free thyroxine | 22,941 | $7.60 | $0.00 | $28.21 |
| 90785 | Psytx complex interactive | 22,094 | $4.80 | $0.97 | $13.32 |
| 99282 | Emergency dept visit sf mdm | 21,334 | $78.84 | $24.88 | $164.64 |
| A4353 | Intermittent urinary cath | 21,268 | $646.83 | $546.64 | $784.34 |
| 87070 | Culture othr specimn aerobic | 21,053 | $8.78 | $0.51 | $193.54 |
| 99238 | Hosp ip/obs dschrg mgmt 30/< | 20,795 | $100.21 | $7.01 | $135.14 |
| 93306 | Tte w/doppler complete | 20,712 | $85.61 | $5.30 | $287.41 |
| T4526 | Adult size pull-on med | 20,352 | $97.80 | $53.55 | $252.50 |
| H0019 | Alcohol and/or drug services | 20,115 | $851.23 | $132.74 | $1,923.59 |
| D1354 | Int caries med app per tooth | 20,059 | $71.45 | $0.00 | $76.83 |
| T2033 | Res, nos waiver per diem | 19,908 | $392.32 | $286.34 | $1,850.10 |
| 87088 | Urine bacteria culture | 19,711 | $7.44 | $1.08 | $73.77 |
| 90677 | Pcv20 vaccine im | 19,538 | $3.78 | $0.00 | $359.11 |
| 90837 | Psytx w pt 60 minutes | 19,402 | $73.86 | $10.09 | $180.13 |
| 87389 | Hiv-1 ag w/hiv-1&-2 ab ag ia | 19,301 | $21.11 | $2.38 | $24.08 |
| D0603 | Caries risk assess high risk | 18,944 | $8.99 | $0.00 | $9.15 |
| S5161 | Emer rspns sys serv permonth | 18,790 | $31.00 | $27.28 | $35.07 |
| 90999 | Unlisted dialysis procedure | 18,436 | $14.55 | $11.13 | $25.36 |
| 92567 | Tympanometry | 18,139 | $15.55 | $9.20 | $27.05 |
| A4927 | Non-sterile gloves | 17,998 | $18.24 | $10.13 | $39.40 |
| 87635 | Sars-cov-2 covid-19 amp prb | 17,830 | $47.02 | $0.00 | $141.06 |
| T4537 | Reusable underpad bed size | 17,750 | $66.28 | $17.27 | $186.75 |
| 00170 | Anes intraoral px nos | 17,666 | $307.81 | $148.27 | $1,071.57 |
| A0428 | Bls | 17,591 | $122.16 | $23.29 | $179.08 |
| 74018 | Radex abdomen 1 view | 17,535 | $10.46 | $2.04 | $48.40 |
| 96375 | Tx/pro/dx inj new drug addon | 17,446 | $45.78 | $3.15 | $110.73 |
| G0467 | Fqhc visit, estab pt | 17,419 | $31.75 | $15.63 | $39.01 |
| 90834 | Psytx w pt 45 minutes | 17,324 | $33.48 | $0.00 | $719.00 |
| S9484 | Crisis intervention per hour | 17,278 | $442.85 | $246.27 | $3,189.83 |
| 87430 | Strep a ag ia | 16,952 | $14.81 | $4.98 | $48.42 |
| T4528 | Adult size pull-on xl | 16,922 | $124.89 | $80.76 | $232.93 |
| 83735 | Assay of magnesium | 16,913 | $5.35 | $0.99 | $6.42 |
| 85027 | Complete cbc automated | 16,865 | $5.46 | $0.00 | $42.50 |