Washington Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Washington, based on 2024 claims data.
2024 Overview
Procedures
2.6K
Total Claims
47.9M
Total Paid
$2.6B
Popular Services
Procedures
Showing 1–50 of 2,597 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services | 2,324,392 | $23.23 | $0.00 | $570.25 |
| T1015 | Clinic service | 1,793,366 | $337.27 | $-1,395.56 | $1,060.01 |
| 99214 | Office o/p est mod 30 min | 1,508,497 | $67.57 | $0.00 | $1,516.67 |
| 99213 | Office o/p est low 20 min | 1,418,769 | $50.50 | $0.00 | $700.00 |
| 36415 | Coll venous bld venipuncture | 947,711 | $3.56 | $0.00 | $36.87 |
| D0230 | Intraoral periapical ea add | 882,098 | $2.26 | $0.00 | $21.60 |
| 85025 | Complete cbc w/auto diff wbc | 853,835 | $4.16 | $0.00 | $124.39 |
| 80053 | Comprehen metabolic panel | 773,947 | $6.43 | $0.00 | $149.48 |
| D0120 | Periodic oral evaluation | 710,983 | $32.04 | $0.00 | $308.28 |
| D1206 | Topical fluoride varnish | 698,522 | $22.81 | $0.00 | $42.40 |
| 99284 | Emergency dept visit mod mdm | 622,270 | $107.49 | $17.71 | $1,666.18 |
| D0220 | Intraoral periapical first | 607,060 | $8.85 | $0.00 | $25.60 |
| G0463 | Hospital outpt clinic visit | 586,979 | $92.76 | $0.00 | $296.68 |
| D1120 | Dental prophylaxis child | 543,649 | $28.61 | $0.00 | $68.00 |
| 97530 | Therapeutic activities | 537,750 | $42.82 | $0.00 | $255.14 |
| 99285 | Emergency dept visit hi mdm | 475,288 | $116.81 | $18.01 | $2,717.54 |
| 90837 | Psytx w pt 60 minutes | 468,671 | $93.19 | $0.00 | $539.73 |
| H0004 | Alcohol and/or drug services | 420,845 | $76.62 | $0.00 | $521.75 |
| 99283 | Emergency dept visit low mdm | 420,743 | $135.51 | $20.16 | $802.78 |
| 97110 | Therapeutic exercises | 387,748 | $28.33 | $0.00 | $227.22 |
| 96164 | Hlth bhv ivntj grp 1st 30 | 369,023 | $20.21 | $0.00 | $103.05 |
| 96165 | Hlth bhv ivntj grp ea addl | 367,426 | $64.46 | $0.00 | $448.43 |
| 3074F | Syst bp lt 130 mm hg | 352,123 | $0.00 | $0.00 | $0.08 |
| 80307 | Drug test prsmv chem anlyzr | 331,807 | $54.47 | $0.00 | $261.57 |
| 90999 | Unlisted dialysis procedure | 330,851 | $96.66 | $4.69 | $328.12 |
| T1013 | Sign lang/oral interpreter | 318,113 | $55.91 | $0.00 | $57.59 |
| 3078F | Diast bp <80 mm hg | 317,334 | $0.00 | $0.00 | $0.05 |
| D0272 | Dental bitewings two images | 304,375 | $9.53 | $0.00 | $42.40 |
| 80061 | Lipid panel | 302,434 | $9.21 | $0.00 | $120.09 |
| 83036 | Hemoglobin glycosylated a1c | 299,175 | $6.02 | $0.00 | $76.10 |
| D1351 | Dental sealant per tooth | 298,983 | $24.29 | $0.00 | $53.07 |
| A4927 | Non-sterile gloves | 283,490 | $20.10 | $1.54 | $36.39 |
| 92507 | Tx sp lang voice comm indiv | 268,850 | $40.65 | $0.00 | $227.14 |
| 71045 | X-ray exam chest 1 view | 267,430 | $5.94 | $0.00 | $296.61 |
| 87491 | Chlmyd trach dna amp probe | 257,155 | $24.51 | $0.00 | $110.28 |
| 87591 | N.gonorrhoeae dna amp prob | 257,081 | $23.62 | $0.00 | $110.28 |
| D0140 | Limit oral eval problm focus | 243,039 | $28.36 | $0.00 | $75.00 |
| D2392 | Post 2 srfc resinbased cmpst | 242,794 | $75.15 | $0.00 | $338.63 |
| 84443 | Assay thyroid stim hormone | 238,836 | $10.45 | $0.00 | $115.33 |
| 81001 | Urinalysis auto w/scope | 234,249 | $2.34 | $0.00 | $56.38 |
| D0274 | Bitewings four images | 226,981 | $12.11 | $0.00 | $60.13 |
| A0425 | Ground mileage | 223,921 | $51.34 | $2.94 | $592.41 |
| A4657 | Syringe w/wo needle | 221,919 | $9.68 | $0.00 | $1,074.66 |
| 93005 | Electrocardiogram tracing | 221,734 | $6.30 | $0.00 | $360.14 |
| 93010 | Electrocardiogram report | 218,912 | $3.68 | $0.00 | $10.63 |
| H0043 | Supported housing, per diem | 217,301 | $110.29 | $0.00 | $112.00 |
| D1110 | Dental prophylaxis adult | 208,982 | $44.52 | $0.00 | $88.00 |
| D0150 | Comprehensve oral evaluation | 207,846 | $39.40 | $0.00 | $308.28 |
| H2036 | A/d tx program, per diem | 200,193 | $24.22 | $0.00 | $3,811.11 |
| 87086 | Urine culture/colony count | 196,474 | $5.19 | $0.00 | $80.56 |