Wyoming Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Wyoming, based on 2024 claims data.
2024 Overview
Procedures
505
Total Claims
1.2M
Total Paid
$134.3M
Popular Services
Procedures
Showing 1–50 of 505 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99213 | Office o/p est low 20 min | 70,405 | $31.33 | $0.00 | $75.50 |
| T1015 | Clinic service | 69,960 | $408.82 | $0.00 | $719.00 |
| T1004 | Nsg aide service up to 15min | 66,610 | $59.77 | $33.00 | $96.15 |
| S0281 | Medical home, maintenance | 65,804 | $5.58 | $0.00 | $6.00 |
| 99214 | Office o/p est mod 30 min | 61,276 | $50.31 | $0.00 | $94.48 |
| T2022 | Case management, per month | 48,994 | $252.43 | $44.84 | $358.75 |
| 90837 | Psytx w pt 60 minutes | 48,807 | $74.03 | $0.00 | $174.61 |
| T2016 | Habil res waiver per diem | 47,951 | $547.08 | $171.90 | $8,238.87 |
| H2019 | Ther behav svc, per 15 min | 34,828 | $75.70 | $0.00 | $186.67 |
| 97530 | Therapeutic activities | 30,137 | $46.53 | $0.00 | $120.68 |
| D1206 | Topical fluoride varnish | 24,014 | $36.41 | $0.00 | $42.66 |
| S5100 | Adult daycare services 15min | 23,740 | $218.65 | $55.16 | $1,643.59 |
| D0120 | Periodic oral evaluation | 22,938 | $34.78 | $0.00 | $39.00 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 21,766 | $62.55 | $18.90 | $128.47 |
| T1002 | Rn services up to 15 minutes | 16,948 | $102.51 | $82.67 | $117.72 |
| D1120 | Dental prophylaxis child | 16,412 | $36.85 | $15.00 | $43.07 |
| 97110 | Therapeutic exercises | 16,258 | $32.76 | $0.00 | $152.11 |
| S5125 | Attendant care service /15m | 15,248 | $54.05 | $29.07 | $67.40 |
| 99284 | Emergency dept visit mod mdm | 14,940 | $106.16 | $0.00 | $444.65 |
| 90833 | Psytx w pt w e/m 30 min | 13,283 | $62.69 | $8.75 | $96.03 |
| S5170 | Homedelivered prepared meal | 12,505 | $68.34 | $13.33 | $324.18 |
| 92507 | Tx sp lang voice comm indiv | 12,000 | $52.29 | $0.00 | $84.64 |
| 99283 | Emergency dept visit low mdm | 11,617 | $100.98 | $0.00 | $267.64 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, | 11,429 | $11.67 | $6.37 | $25.31 |
| D1351 | Dental sealant per tooth | 11,417 | $29.29 | $0.00 | $34.13 |
| 85025 | Complete cbc w/auto diff wbc | 10,661 | $0.48 | $0.00 | $32.18 |
| T2031 | Assist living waiver/diem | 9,831 | $648.28 | $145.66 | $3,985.23 |
| D0220 | Intraoral periapical first | 9,685 | $22.56 | $0.00 | $112.13 |
| D0272 | Dental bitewings two images | 8,992 | $21.67 | $0.00 | $29.25 |
| 90460 | Im admin 1st/only component | 8,988 | $35.06 | $0.00 | $66.26 |
| 97150 | Group therapeutic procedures | 8,959 | $9.04 | $0.00 | $12.41 |
| 80053 | Comprehen metabolic panel | 8,856 | $0.70 | $0.00 | $11.88 |
| A0425 | Ground mileage | 8,803 | $18.37 | $0.00 | $138.21 |
| G9012 | Other specified case mgmt | 8,800 | $51.66 | $0.00 | $161.59 |
| D1110 | Dental prophylaxis adult | 8,714 | $54.18 | $0.00 | $60.94 |
| D0230 | Intraoral periapical ea add | 7,824 | $14.52 | $0.00 | $47.86 |
| 99285 | Emergency dept visit hi mdm | 7,609 | $99.78 | $0.00 | $296.56 |
| T2021 | Day habil waiver per 15 min | 7,541 | $239.81 | $58.85 | $1,296.34 |
| 97112 | Neuromuscular reeducation | 7,166 | $22.82 | $0.00 | $49.51 |
| 92015 | Determine refractive state | 6,856 | $16.58 | $0.00 | $19.05 |
| T1019 | Personal care ser per 15 min | 6,442 | $113.36 | $56.96 | $119.33 |
| 71045 | X-ray exam chest 1 view | 5,621 | $4.19 | $0.00 | $33.56 |
| T2017 | Habil res waiver 15 min | 5,619 | $128.25 | $74.11 | $856.31 |
| D0274 | Bitewings four images | 5,107 | $33.39 | $0.00 | $42.66 |
| 80305 | Drug test prsmv dir opt obs | 5,071 | $7.05 | $0.00 | $12.45 |
| 93010 | Electrocardiogram report | 5,032 | $5.63 | $1.33 | $10.23 |
| H0046 | Mental health service, nos | 5,012 | $25.89 | $0.00 | $63.15 |
| 36415 | Coll venous bld venipuncture | 4,942 | $0.72 | $0.00 | $2.51 |
| D2392 | Post 2 srfc resinbased cmpst | 4,642 | $95.46 | $0.00 | $119.45 |
| 90834 | Psytx w pt 45 minutes | 4,638 | $41.71 | $0.00 | $82.95 |