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 101–150 of 2,597 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99233 | Sbsq hosp ip/obs high 50 | 102,723 | $55.92 | $0.00 | $141.71 |
| T4537 | Reusable underpad bed size | 102,603 | $29.17 | $4.27 | $77.05 |
| 86140 | C-reactive protein | 101,728 | $4.10 | $0.00 | $49.11 |
| D1330 | Oral hygiene instructions | 100,683 | $2.51 | $0.00 | $12.97 |
| J2704 | Inj, propofol, 10 mg | 100,257 | $1.31 | $0.00 | $131.15 |
| 84439 | Assay of free thyroxine | 99,048 | $6.44 | $0.00 | $85.30 |
| A9270 | Non-covered item or service | 98,597 | $0.06 | $0.00 | $3.23 |
| 99203 | Office o/p new low 30 min | 97,566 | $72.55 | $0.00 | $167.47 |
| V2020 | Vision svcs frames purchases | 96,865 | $9.39 | $0.00 | $130.27 |
| H0030 | Alcohol and/or drug hotline | 96,092 | $0.02 | $0.00 | $6.73 |
| D2930 | Prefab stnlss steel crwn pri | 95,423 | $185.21 | $0.00 | $1,889.15 |
| G2211 | Complex e/m visit add on | 93,183 | $1.67 | $0.00 | $105.28 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 92,835 | $47.30 | $3.28 | $152.41 |
| 83550 | Iron binding test | 92,809 | $5.14 | $0.00 | $197.20 |
| 87661 | Trichomonas vaginalis amplif | 92,327 | $22.54 | $0.00 | $85.48 |
| 81025 | Urine pregnancy test | 91,310 | $6.38 | $0.00 | $59.54 |
| 99212 | Office o/p est sf 10 min | 90,538 | $58.21 | $0.00 | $469.50 |
| H0046 | Mental health service, nos | 89,003 | $12.24 | $0.00 | $181.74 |
| 90832 | Psytx w pt 30 minutes | 87,173 | $46.25 | $0.00 | $248.78 |
| 96365 | Ther/proph/diag iv inf init | 84,861 | $89.80 | $7.71 | $305.92 |
| 82570 | Assay of urine creatinine | 83,594 | $3.52 | $0.00 | $60.63 |
| 1159F | Med list docd in rcrd | 82,130 | $0.00 | $0.00 | $0.81 |
| J1100 | Dexamethasone sodium phos | 81,449 | $0.42 | $0.00 | $33.53 |
| H2023 | Supported employ, per 15 min | 80,572 | $102.08 | $0.00 | $207.76 |
| 99204 | Office o/p new mod 45 min | 80,292 | $101.42 | $0.00 | $442.63 |
| 99282 | Emergency dept visit sf mdm | 79,195 | $127.21 | $8.43 | $484.28 |
| 96127 | Brief emotional/behav assmt | 78,822 | $5.31 | $0.00 | $15.96 |
| D7210 | Rem imp tooth w mucoper flp | 78,234 | $95.61 | $0.00 | $252.70 |
| 99392 | Prev visit est age 1-4 | 77,687 | $80.09 | $0.00 | $119.69 |
| 3008F | Body mass index docd | 77,341 | $0.00 | $0.00 | $0.00 |
| J3010 | Fentanyl citrate injection | 76,028 | $0.56 | $0.00 | $56.63 |
| T4527 | Adult size pull-on lg | 76,014 | $68.64 | $7.65 | $129.97 |
| J7030 | Normal saline solution infus | 75,565 | $2.34 | $0.00 | $46.29 |
| 82607 | Vitamin b-12 | 75,013 | $9.55 | $0.00 | $85.95 |
| 86780 | Treponema pallidum | 72,991 | $8.58 | $0.00 | $61.26 |
| 99391 | Per pm reeval est pat infant | 72,817 | $73.70 | $0.00 | $106.42 |
| 84703 | Chorionic gonadotropin assay | 72,528 | $2.14 | $0.00 | $83.09 |
| 92014 | Compre oph exam est pt 1/> | 72,488 | $37.42 | $0.00 | $125.88 |
| 36592 | Collect blood from picc | 72,024 | $1.06 | $0.00 | $65.34 |
| 83605 | Assay of lactic acid | 71,129 | $4.64 | $0.00 | $92.20 |
| 87340 | Hepatitis b surface ag ia | 70,875 | $6.12 | $0.00 | $45.21 |
| 85652 | Rbc sed rate automated | 70,493 | $2.25 | $0.00 | $43.15 |
| A4335 | Incontinence supply | 69,954 | $19.37 | $1.16 | $57.60 |
| 92340 | Fit spectacles monofocal | 69,869 | $12.22 | $0.00 | $45.53 |
| G0481 | Drug test def 8-14 classes | 67,280 | $124.99 | $0.00 | $234.89 |
| 92004 | Compre oph exam new pt 1/> | 66,675 | $43.42 | $0.00 | $123.93 |
| A7038 | Pos airway pressure filter | 66,563 | $6.15 | $0.00 | $17.18 |
| 3079F | Diast bp 80-89 mm hg | 66,284 | $0.00 | $0.00 | $13.08 |
| T4526 | Adult size pull-on med | 63,579 | $56.05 | $5.75 | $109.00 |
| 87636 | Sarscov2 & inf a&b amp prb | 63,290 | $54.55 | $0.00 | $148.10 |