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 101–150 of 505 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99215 | Office o/p est hi 40 min | 1,413 | $93.65 | $0.00 | $130.01 |
| 3078F | Diast bp <80 mm hg | 1,399 | $0.00 | $0.00 | $0.00 |
| 99204 | Office o/p new mod 45 min | 1,376 | $99.79 | $0.00 | $146.79 |
| 90999 | Unlisted dialysis procedure | 1,366 | $23.66 | $0.00 | $52.46 |
| G0467 | Fqhc visit, estab pt | 1,366 | $25.31 | $0.00 | $37.55 |
| D1330 | Oral hygiene instructions | 1,362 | $3.97 | $0.00 | $11.38 |
| D9215 | Local anesthesia | 1,361 | $0.00 | $0.00 | $0.00 |
| D2150 | Amalgam two surfaces permane | 1,321 | $113.88 | $77.92 | $117.00 |
| 87635 | Sars-cov-2 covid-19 amp prb | 1,297 | $11.26 | $0.00 | $44.90 |
| A7031 | Replacement facemask interfa | 1,265 | $35.65 | $22.37 | $62.80 |
| 96374 | Ther/proph/diag inj iv push | 1,233 | $63.32 | $15.74 | $92.89 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 1,227 | $37.09 | $8.26 | $72.41 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | 1,225 | $0.98 | $0.00 | $14.81 |
| S5130 | Homaker service nos per 15m | 1,219 | $100.99 | $21.63 | $205.64 |
| E0601 | Continuous positive airway pressure (cpap) device | 1,196 | $34.40 | $0.93 | $75.21 |
| G9638 | No doc >1 dose reduc tech | 1,188 | $0.00 | $0.00 | $0.00 |
| T2024 | Serv asmnt/care plan waiver | 1,170 | $368.51 | $108.22 | $1,000.00 |
| 96112 | Devel tst phys/qhp 1st hr | 1,146 | $108.20 | $95.35 | $120.59 |
| 99393 | Prev visit est age 5-11 | 1,128 | $64.83 | $0.00 | $86.97 |
| 71046 | X-ray exam chest 2 views | 1,125 | $7.14 | $2.47 | $17.96 |
| 87631 | Resp virus 3-5 targets | 1,123 | $99.66 | $0.00 | $154.74 |
| 90677 | Pcv20 vaccine im | 1,106 | $4.08 | $0.00 | $264.61 |
| 96130 | Psycl tst eval phys/qhp 1st | 1,104 | $81.30 | $32.06 | $96.40 |
| 87428 | Sarscov & inf vir a&b ag ia | 1,102 | $29.85 | $0.00 | $55.80 |
| 99309 | Sbsq nf care moderate mdm 30 | 1,089 | $14.34 | $0.00 | $66.91 |
| 74177 | Ct abd & pelvis w/contrast | 1,083 | $43.32 | $12.88 | $173.33 |
| 90792 | Psych diag eval w/med srvcs | 1,046 | $143.32 | $12.37 | $173.74 |
| A0380 | Basic life support mileage | 1,039 | $81.77 | $25.40 | $182.63 |
| A0428 | Bls | 1,030 | $35.20 | $0.00 | $130.58 |
| 90471 | Immunization admin | 1,024 | $11.65 | $0.00 | $16.94 |
| H0038 | Self-help/peer svc per 15min | 1,015 | $41.51 | $0.00 | $81.59 |
| 90962 | Esrd serv 1 visit p mo 20+ | 1,008 | $663.36 | $552.40 | $719.00 |
| 99203 | Office o/p new low 30 min | 965 | $68.64 | $0.00 | $95.27 |
| T4541 | Large disposable underpad | 934 | $56.74 | $27.50 | $104.44 |
| G0463 | Hospital outpt clinic visit | 926 | $21.02 | $0.00 | $89.23 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 917 | $42.61 | $10.67 | $63.68 |
| 70450 | Ct head/brain w/o dye | 907 | $18.61 | $3.44 | $48.13 |
| 87502 | Influenza dna amp probe | 904 | $30.14 | $0.00 | $101.61 |
| G9322 | No cnt ct nuc med doc 12mo | 896 | $0.00 | $0.00 | $0.00 |
| D0240 | Intraoral occlusal film | 888 | $16.67 | $8.86 | $34.13 |
| D3220 | Therapeutic pulpotomy | 844 | $88.28 | $67.12 | $104.81 |
| 92065 | Orthop traing pfrmd phys/qhp | 841 | $42.81 | $38.88 | $44.93 |
| H0032 | Mh svc plan dev by non-md | 839 | $55.88 | $46.43 | $65.38 |
| D7240 | Impact tooth remov comp bony | 835 | $252.34 | $212.50 | $263.94 |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest | 829 | $496.65 | $142.33 | $847.69 |
| 99070 | Special supplies phys/qhp | 821 | $2.68 | $0.00 | $10.00 |
| 90832 | Psytx w pt 30 minutes | 801 | $28.36 | $0.00 | $42.04 |
| 92004 | Compre oph exam new pt 1/> | 801 | $109.19 | $65.60 | $125.07 |
| 41899 | Unlisted px dentalvlr strux | 772 | $2,267.66 | $599.53 | $4,447.23 |
| 1036F | Tobacco non-user | 765 | $0.00 | $0.00 | $0.00 |