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$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Oklahoma physician schedule has 6,509 codes.
- Every code on all 51 published schedules
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Published codes
6,509
Physician procedures on the 2026 schedule
Median % of Medicare
87.6%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common physician procedures and what Oklahoma Medicaid pays
A curated sample of recognizable procedures from the 6,509-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Oklahoma rate | % of Medicare |
|---|---|---|---|
| 10021 | Fine needle aspiration biopsy, first lesion, no imaging | $87.22 | 86.5% |
| 10060 | Drainage of a skin abscess, simple | $111.02 | 86.3% |
| 10061 | Drainage of a skin abscess, complicated or multiple | $190.97 | 86.8% |
| 10080 | Drainage of a pilonidal cyst, simple | $228.44 | 84.8% |
| 10081 | Drainage of a pilonidal cyst, complicated | $324.25 | 85.3% |
| 10120 | Removal of a foreign body from tissue, simple | $134.96 | 85.8% |
| 10121 | Removal of a foreign body from skin, complicated | $237.78 | 86.4% |
| 10140 | Drainage of a blood or fluid collection under the skin | $150.19 | 86.1% |
| 10160 | Needle drainage of an abscess or cyst | $113.55 | 86.3% |
| 10180 | Drainage of an infected surgical wound | $246.89 | 85.7% |
| 11000 | Removal of infected or dead skin, up to 10% of body | $51.21 | 86.6% |
| 11042 | Wound debridement, skin and tissue below, first 20 sq cm | $113.65 | 85.7% |
| 11043 | Wound debridement to muscle, first 20 sq cm | $207.73 | 86.7% |
| 11044 | Wound debridement to bone, first 20 sq cm | $279.57 | 87.2% |
| 11045 | Wound debridement, skin, each added 20 sq cm | $36.33 | 87% |
| 11055 | Trimming of one callus or corn | $59.60 | 85% |
| 11056 | Trimming of 2-4 calluses or corns | $69.28 | 85.4% |
| 11057 | Trimming of 5 or more calluses or corns | $76.15 | 85.7% |
| 11102 | Skin biopsy, tangential, first lesion | $81.73 | 85.6% |
| 11104 | Skin biopsy, punch, first lesion | $103.69 | 85.5% |
| 11106 | Skin biopsy, incisional, first lesion | $129.27 | 85.4% |
| 11200 | Removal of skin tags, up to 15 | $79.44 | 86.2% |
| 11201 | Removal of skin tags, each added 10 | $16.21 | 88.2% |
| 11300 | Shave removal of a skin lesion, trunk/arm/leg, 0.5 cm or less | $82.39 | 85.4% |
| 11305 | Shave removal of a skin lesion, scalp/neck/genitals, 0.5 cm or less | $86.92 | 85.9% |
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. Rows marked * show the schedule's representative published variant.
More Oklahoma Medicaid fee schedules
- Oklahoma fee schedule overview
- Oklahoma lab & imaging fee schedule · 2,087 codes
- Oklahoma dme & supplies fee schedule · 1,829 codes
- Oklahoma drugs fee schedule · 904 codes
- Oklahoma anesthesia fee schedule · 274 codes
- Oklahoma other services fee schedule · 203 codes
- Oklahoma vision fee schedule · 136 codes
Physician rates in neighboring states
Frequently asked questions
What does Oklahoma Medicaid pay for physician and professional services?
Oklahoma Medicaid publishes 6,509 physician procedure rates effective 2026, paying a median 87.6% of the national Medicare amount for the same services. The schedule covers office visits, preventive care, surgery, and evaluation and management services. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Oklahoma's physician rates compare with Medicare?
Across physician codes with a national Medicare comparator, Oklahoma Medicaid pays a median 87.6% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do physician services need prior authorization in Oklahoma?
Oklahoma does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from Oklahoma's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.