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 51–100 of 505 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| D9230 | Analgesia | 4,625 | $27.85 | $15.69 | $30.78 |
| D0150 | Comprehensve oral evaluation | 4,487 | $31.42 | $0.00 | $42.66 |
| A0427 | Als1-emergency | 4,368 | $93.14 | $10.06 | $189.31 |
| T2019 | Habil sup empl waiver 15min | 4,240 | $145.74 | $63.46 | $1,258.63 |
| A0429 | Bls-emergency | 4,072 | $68.84 | $12.99 | $209.12 |
| 92014 | Compre oph exam est pt 1/> | 4,014 | $81.29 | $0.00 | $102.79 |
| T1017 | Targeted case management | 3,902 | $41.89 | $0.00 | $145.42 |
| 96110 | Developmental screen w/score | 3,897 | $18.95 | $0.00 | $29.54 |
| 90785 | Psytx complex interactive | 3,885 | $6.32 | $0.00 | $10.36 |
| 99391 | Per pm reeval est pat infant | 3,747 | $63.71 | $0.00 | $78.68 |
| S5108 | Homecare train pt 15 min | 3,644 | $493.94 | $116.33 | $3,828.25 |
| T1016 | Case management | 3,382 | $96.42 | $38.29 | $424.47 |
| S5135 | Adult companioncare per 15m | 3,344 | $134.65 | $99.03 | $178.23 |
| D9999 | Adjunctive procedure | 3,342 | $575.51 | $253.01 | $719.00 |
| 97140 | Manual therapy 1/> regions | 3,231 | $24.53 | $0.00 | $64.24 |
| V2784 | Lens polycarb or equal | 3,217 | $55.06 | $0.00 | $84.86 |
| 87880 | Strep a assay w/optic | 3,126 | $8.62 | $0.00 | $14.70 |
| V2020 | Vision svcs frames purchases | 3,087 | $59.26 | $0.00 | $71.65 |
| 92526 | Oral function therapy | 2,986 | $67.03 | $45.04 | $77.27 |
| 99212 | Office o/p est sf 10 min | 2,977 | $22.67 | $0.00 | $38.45 |
| 90461 | Im admin each addl component | 2,786 | $0.00 | $0.00 | $0.00 |
| D2391 | Post 1 srfc resinbased cmpst | 2,759 | $78.99 | $0.00 | $96.73 |
| 92609 | Use of speech device service | 2,695 | $70.50 | $33.44 | $83.49 |
| 96127 | Brief emotional/behav assmt | 2,677 | $2.65 | $0.00 | $8.62 |
| 99233 | Sbsq hosp ip/obs high 50 | 2,642 | $83.65 | $16.24 | $106.51 |
| D0140 | Limit oral eval problm focus | 2,609 | $39.89 | $0.00 | $54.85 |
| 90853 | Group psychotherapy | 2,564 | $22.16 | $0.00 | $43.74 |
| H2014 | Skills train and dev, 15 min | 2,562 | $73.35 | $11.64 | $112.63 |
| 99392 | Prev visit est age 1-4 | 2,532 | $63.55 | $0.00 | $90.66 |
| D0330 | Panoramic image | 2,473 | $59.45 | $0.00 | $73.13 |
| A7038 | Pos airway pressure filter | 2,394 | $4.51 | $1.78 | $7.93 |
| D7140 | Extraction erupted tooth/exr | 2,362 | $74.88 | $42.93 | $85.84 |
| 87651 | Strep a dna amp probe | 2,273 | $26.33 | $0.00 | $43.04 |
| D2930 | Prefab stnlss steel crwn pri | 2,152 | $146.91 | $107.13 | $165.75 |
| 92508 | Tx sp lang voice comm group | 2,137 | $19.86 | $10.45 | $23.00 |
| 1111F | Dschrg med/current med merge | 2,127 | $0.00 | $0.00 | $0.00 |
| 87804 | Influenza assay w/optic | 2,120 | $16.61 | $0.00 | $102.71 |
| S5161 | Emer rspns sys serv permonth | 1,998 | $34.21 | $18.77 | $41.73 |
| 11721 | Debride nail 6 or more | 1,917 | $9.44 | $2.76 | $36.22 |
| H0004 | Alcohol and/or drug services | 1,916 | $111.16 | $45.55 | $145.29 |
| 3074F | Syst bp lt 130 mm hg | 1,849 | $0.00 | $0.00 | $0.00 |
| 97535 | Self care mngment training | 1,839 | $28.27 | $0.00 | $123.23 |
| E1392 | Portable oxygen concentrator, rental | 1,774 | $15.62 | $8.23 | $40.74 |
| E0570 | Nebulizer, with compressor | 1,715 | $8.72 | $2.77 | $65.65 |
| 92340 | Fit spectacles monofocal | 1,705 | $26.40 | $7.00 | $31.99 |
| A4657 | Syringe w/wo needle | 1,621 | $0.00 | $0.00 | $0.00 |
| 97597 | Dbrdmt opn wnd 1st 20 cm/< | 1,619 | $23.48 | $2.47 | $52.99 |
| 81001 | Urinalysis auto w/scope | 1,568 | $0.17 | $0.00 | $2.90 |
| 93005 | Electrocardiogram tracing | 1,515 | $0.18 | $0.00 | $4.88 |
| 94760 | N-invas ear/pls oximetry 1 | 1,457 | $2.48 | $1.94 | $2.88 |