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 51–100 of 1,957 procedures, sorted by most claims.

HCPCS CodeDescriptionTotal ClaimsAvg PaymentMin PaymentMax Payment
92507Tx sp lang voice comm indiv95,549$62.01$0.00$197.77
D1355Caries med app per tooth95,470$1.15$0.00$153.30
D1110Dental prophylaxis adult95,304$26.28$0.00$719.00
H0033Oral med adm direct observe89,175$12.69$0.00$27.03
93005Electrocardiogram tracing88,701$11.35$0.00$220.32
81001Urinalysis auto w/scope87,311$2.98$0.00$37.49
71046X-ray exam chest 2 views85,830$20.12$0.00$190.72
D0191Assessment of a patient85,347$5.89$0.00$710.23
A4927Non-sterile gloves84,941$15.57$7.30$27.63
A0427Als1-emergency82,287$251.91$84.12$466.56
92015Determine refractive state81,691$14.04$0.00$95.87
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or81,313$56.74$0.00$134.24
A7038Pos airway pressure filter76,189$6.89$1.57$20.09
90834Psytx w pt 45 minutes75,603$110.08$0.00$894.03
97112Neuromuscular reeducation75,239$28.89$0.00$175.13
99215Office o/p est hi 40 min66,861$120.37$0.00$966.74
99203Office o/p new low 30 min66,218$90.15$0.00$338.63
T1019Personal care ser per 15 min65,359$133.49$0.00$920.09
D1351Dental sealant per tooth65,044$13.91$0.00$57.10
G0480Drug test def 1-7 classes63,952$64.88$0.00$175.58
D2392Post 2 srfc resinbased cmpst62,515$47.32$0.00$327.37
99204Office o/p new mod 45 min60,250$127.93$0.00$359.50
90999Unlisted dialysis procedure59,583$89.75$7.26$623.66
T1016Case management59,182$73.85$0.00$665.83
87591N.gonorrhoeae dna amp prob58,625$39.12$0.00$126.92
87491Chlmyd trach dna amp probe58,583$39.40$0.00$126.57
87086Urine culture/colony count58,355$5.79$0.00$37.91
D7140Extraction erupted tooth/exr57,383$50.86$0.00$305.18
82728Assay of ferritin57,324$12.14$0.00$58.29
96374Ther/proph/diag inj iv push57,019$121.90$0.00$427.74
S5125Attendant care service /15m56,462$97.00$0.00$555.32
H0019Alcohol and/or drug services55,364$714.03$27.34$27,517.41
88305Tissue exam by pathologist55,292$54.39$0.00$359.33
90832Psytx w pt 30 minutes54,883$78.72$0.00$858.83
98943Chiropract manj xtrspinl 1/>53,286$13.75$0.00$25.08
90471Immunization admin53,179$15.67$0.00$719.00
G0299Hhs/hospice of rn ea 15 min52,323$0.61$0.00$56.68
74177Ct abd & pelvis w/contrast50,283$93.58$0.00$1,104.16
92014Compre oph exam est pt 1/>50,216$85.28$0.00$689.04
V2784Lens polycarb or equal49,742$13.91$0.00$51.05
96127Brief emotional/behav assmt49,404$5.49$0.00$49.66
E0601Continuous positive airway pressure (cpap) device47,506$70.78$13.38$277.75
T4541Large disposable underpad47,035$20.42$11.14$28.80
D0272Dental bitewings two images46,581$14.32$0.00$59.60
V2020Vision svcs frames purchases46,087$22.15$0.00$92.28
A4604Tubing with heating element45,610$32.82$6.78$51.09
96160Pt-focused hlth risk assmt44,904$4.87$0.00$20.00
82306Vitamin d 25 hydroxy44,859$21.92$0.00$139.72
G0156Hhcp-svs of aide,ea 15 min44,835$0.33$0.00$28.80
99233Sbsq hosp ip/obs high 5043,506$57.96$0.00$115.14