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 101–150 of 1,957 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| D0602 | Caries risk assess mod risk | 43,323 | $1.49 | $0.00 | $24.35 |
| D2391 | Post 1 srfc resinbased cmpst | 43,007 | $32.42 | $0.00 | $364.52 |
| H0015 | Alcohol and/or drug services | 42,923 | $119.58 | $0.00 | $242.24 |
| 1160F | Rvw meds by rx/dr in rcrd | 42,318 | $0.00 | $0.00 | $0.00 |
| 80048 | Basic metabolic pnl total ca | 42,051 | $6.72 | $0.00 | $32.35 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, | 41,216 | $10.44 | $0.86 | $24.31 |
| D0210 | Intraor comprehensive series | 40,687 | $18.56 | $0.00 | $97.31 |
| 87389 | Hiv-1 ag w/hiv-1&-2 ab ag ia | 40,359 | $24.77 | $0.00 | $75.96 |
| 3008F | Body mass index docd | 40,036 | $0.00 | $0.00 | $0.00 |
| 85027 | Complete cbc automated | 40,016 | $7.20 | $0.00 | $29.29 |
| 1159F | Med list docd in rcrd | 39,890 | $0.00 | $0.00 | $0.00 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 39,300 | $41.61 | $0.00 | $86.63 |
| 83690 | Assay of lipase | 39,118 | $6.13 | $0.00 | $64.16 |
| 80050 | General health panel | 38,875 | $29.96 | $20.77 | $38.22 |
| 92340 | Fit spectacles monofocal | 38,843 | $101.36 | $0.00 | $205.16 |
| 70450 | Ct head/brain w/o dye | 38,757 | $32.14 | $0.00 | $529.08 |
| H0039 | Asser com tx face-face/15min | 38,316 | $14.02 | $0.00 | $278.16 |
| A0429 | Bls-emergency | 38,295 | $188.57 | $69.20 | $440.00 |
| D0601 | Caries risk assess low risk | 37,718 | $0.66 | $0.00 | $26.35 |
| 81003 | Urinalysis auto w/o scope | 37,690 | $2.39 | $0.00 | $41.16 |
| 97810 | Acup 1/> wo estim 1st 15 min | 37,108 | $27.08 | $0.00 | $41.50 |
| 94761 | N-invas ear/pls oximetry mlt | 37,064 | $0.01 | $0.00 | $6.57 |
| T1020 | Personal care ser per diem | 37,040 | $1,298.65 | $0.00 | $21,595.81 |
| 96110 | Developmental screen w/score | 37,028 | $10.69 | $0.00 | $111.47 |
| 83540 | Assay of iron | 36,673 | $5.59 | $0.00 | $29.98 |
| 84439 | Assay of free thyroxine | 36,591 | $6.47 | $0.00 | $47.55 |
| 92004 | Compre oph exam new pt 1/> | 36,125 | $102.79 | $0.00 | $584.19 |
| 97811 | Acup 1/> w/o estim ea add 15 | 36,105 | $26.46 | $0.00 | $58.35 |
| D0330 | Panoramic image | 35,825 | $25.17 | $0.00 | $160.42 |
| A7031 | Replacement facemask interfa | 35,045 | $44.26 | $8.89 | $125.21 |
| 90853 | Group psychotherapy | 33,996 | $62.59 | $0.00 | $719.00 |
| S5161 | Emer rspns sys serv permonth | 33,777 | $38.27 | $7.42 | $40.75 |
| D0240 | Intraoral occlusal film | 33,665 | $8.49 | $0.00 | $48.57 |
| 86780 | Treponema pallidum | 33,283 | $14.21 | $0.00 | $36.73 |
| 77067 | Scr mammo bi incl cad | 33,212 | $60.83 | $0.00 | $365.95 |
| A7035 | Pos airway press headgear | 33,121 | $19.11 | $4.49 | $30.39 |
| 99212 | Office o/p est sf 10 min | 32,340 | $48.16 | $0.00 | $719.00 |
| 90833 | Psytx w pt w e/m 30 min | 32,171 | $93.74 | $0.00 | $216.00 |
| 86803 | Hepatitis c ab test | 31,814 | $12.43 | $0.00 | $52.26 |
| 84484 | Assay of troponin quant | 30,559 | $4.04 | $0.00 | $126.89 |
| 92134 | Cptrz oph dx img pst sgm rta | 30,524 | $19.74 | $0.00 | $79.18 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 30,322 | $17.55 | $0.00 | $97.20 |
| E0562 | Humidifier, heated, used with positive airway pressure device | 29,322 | $34.63 | $4.25 | $211.15 |
| 99392 | Prev visit est age 1-4 | 29,283 | $87.80 | $0.00 | $269.00 |
| 82607 | Vitamin b-12 | 29,271 | $14.04 | $0.00 | $56.14 |
| D1208 | Topical app fluorid ex vrnsh | 29,230 | $16.45 | $0.00 | $38.40 |
| D2930 | Prefab stnlss steel crwn pri | 28,645 | $127.90 | $0.00 | $290.70 |
| 77063 | Breast tomosynthesis bi | 28,640 | $23.01 | $0.00 | $150.65 |
| T4535 | Disposable liner/shield/pad | 28,413 | $58.35 | $28.63 | $96.90 |
| 99391 | Per pm reeval est pat infant | 27,772 | $87.85 | $0.00 | $252.00 |