Oregon Medicaid Reimbursement Rates

What Medicaid pays for medical procedures and services in Oregon, based on 2024 claims data.

2024 Overview

Procedures
2.0K
Total Claims
22.9M
Total Paid
$1.2B

Popular Services

Procedures

Showing 1–50 of 1,957 procedures, sorted by most claims.

HCPCS CodeDescriptionTotal ClaimsAvg PaymentMin PaymentMax Payment
H0020Alcohol and/or drug services970,866$21.35$0.00$719.00
99214Office o/p est mod 30 min928,751$74.85$0.00$1,573.00
A0100Nonemergency transport taxi923,614$7.99$0.00$275.00
99213Office o/p est low 20 min818,281$58.84$0.00$719.00
90837Psytx w pt 60 minutes574,011$173.90$0.00$916.32
36415Coll venous bld venipuncture488,534$3.94$0.00$55.14
85025Complete cbc w/auto diff wbc433,869$4.48$0.00$59.22
S0215Nonemerg transp mileage432,882$0.15$0.00$148.82
80053Comprehen metabolic panel418,118$6.15$0.00$74.37
A0090Interest escort in non er380,756$0.76$0.00$22.02
99284Emergency dept visit mod mdm362,280$189.49$0.00$871.69
D1330Oral hygiene instructions314,926$0.23$0.00$74.00
A0999Unlisted ambulance service310,353$0.00$0.00$12.64
D1206Topical fluoride varnish286,418$9.89$0.00$76.00
H0005Alcohol and/or drug services281,599$54.92$0.00$927.74
D0230Intraoral periapical ea add269,846$4.92$0.00$83.81
99283Emergency dept visit low mdm265,998$193.84$0.00$596.81
D1310Nutri counsel-control caries238,480$0.01$0.00$2.56
A0120Noner transport mini-bus231,055$0.38$0.00$52.93
99285Emergency dept visit hi mdm224,581$253.42$0.00$1,750.08
97530Therapeutic activities217,062$61.98$0.00$387.03
G2211Complex e/m visit add on208,337$10.50$0.00$34.10
H0048Spec coll non-blood:a/d test206,241$18.88$0.00$207.98
A0130Noner transport wheelch van204,117$11.47$0.00$80.00
D0603Caries risk assess high risk198,636$2.79$0.00$26.96
D0220Intraoral periapical first193,635$7.49$0.00$83.21
H0004Alcohol and/or drug services191,389$114.03$0.00$904.80
D0120Periodic oral evaluation185,343$22.39$0.00$719.00
97110Therapeutic exercises185,016$32.30$0.00$165.60
G0463Hospital outpt clinic visit180,134$77.57$0.00$253.40
98941Chiropract manj 3-4 regions178,443$27.57$0.00$73.25
93010Electrocardiogram report160,796$6.53$0.00$37.59
D1354Int caries med app per tooth157,495$2.00$0.00$719.00
D1120Dental prophylaxis child147,280$28.22$0.00$719.00
83036Hemoglobin glycosylated a1c146,019$8.58$0.00$45.32
80061Lipid panel132,318$11.15$0.00$73.56
A0425Ground mileage130,126$12.22$0.00$187.71
H0038Self-help/peer svc per 15min125,086$124.60$0.00$1,000.00
97140Manual therapy 1/> regions119,420$29.39$0.00$150.00
97124Massage therapy117,074$63.85$0.00$111.46
3074FSyst bp lt 130 mm hg114,912$0.00$0.00$0.00
H2014Skills train and dev, 15 min112,629$59.04$0.00$1,000.00
71045X-ray exam chest 1 view112,207$13.32$0.00$183.68
D0150Comprehensve oral evaluation107,815$20.79$0.00$737.76
S0209Wc van mileage per mi105,960$0.02$0.00$6.88
84443Assay thyroid stim hormone102,958$15.45$0.00$79.79
3078FDiast bp <80 mm hg101,974$0.00$0.00$0.00
D0140Limit oral eval problm focus101,217$32.92$0.00$719.00
80307Drug test prsmv chem anlyzr100,445$42.10$0.00$259.84
D0274Bitewings four images97,762$11.25$0.00$92.07