Physician codes 94002 to 94799 with Medicaid rates by state

44 physician codes from 94002 to 94799 carry a published Medicaid rate in ten or more states. The median shown is across those states' unmodified published rates; open a code for the full state-by-state table with percent of Medicare and prior-authorization flags.

CodeDescriptionStatesMedian rate
94002Ventilator management, hospital, first day42$70.24
94003Ventilator management, hospital, each following day42$49.40
94010Spirometry (lung function test)48$24.91
94011Spirometry, infant or child up to age 246$64.88
94012Spirometry with bronchodilator, infant up to age 246$101.51
94013Lung volume measurement, infant up to age 245$17.22
94014Home spirometry monitoring, 30 days, complete40$48.30
94016Home spirometry monitoring, 30 days, physician review only38$21.47
94060Spirometry before and after bronchodilator48$40.19
94070Airway challenge test (methacholine or similar)47$54.92
94150Vital capacity lung test42$17.18
94200Maximum breathing capacity test48$14.33
94375Breathing flow-volume loop test48$33.80
94450Breathing response to low oxygen test43$71.66
94452High-altitude simulation test35$45.84
94453High-altitude simulation test with oxygen titration35$62.23
94610Surfactant given through a breathing tube41$45.45
94617Exercise test for asthma with ECG45$75.02
94618Lung stress test (6-minute walk)46$29.57
94619Exercise test for asthma, no ECG45$56.75
94621Heart and lung exercise test with gas measurements48$126.80
94625Pulmonary rehabilitation session, no oximetry41$58.41
94626Pulmonary rehabilitation session with oximetry41$67.51
94640Inhalation treatment (e.g. nebulizer)46$9.00
94642Inhaled pentamidine treatment39$34.51
94644Continuous nebulizer treatment, first hour45$46.65
94645Continuous nebulizer treatment, each added hour44$12.91
94660CPAP initiation and management39$49.65
94664Inhaler or nebulizer technique training47$15.43
94667Chest physiotherapy, first session42$21.05
94668Chest physiotherapy, later session41$26.99
94669Mechanical chest wall oscillation33$21.52
94726Lung volume measurement by plethysmography48$47.90
94727Lung volume measurement by gas dilution47$37.92
94728Airway resistance test by oscillometry47$37.36
94729Lung diffusion capacity test (add-on)48$47.47
94760Pulse oximetry, single reading38$3.05
94761Pulse oximetry, multiple readings (exercise)39$3.64
94762Overnight pulse oximetry40$22.14
94772Infant breathing pattern recording (pneumogram)36$135.52
94777Pediatric home apnea monitoring, review and report16$26.77
94780Car seat or bed test for infant, first hour30$42.15
94781Car seat or bed test for infant, each added 30 minutes30$16.77
94799Unlisted lung service14$61.70

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.