Alabama Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Alabama, based on 2024 claims data.
2024 Overview
Procedures
1.8K
Total Claims
25.6M
Total Paid
$1.6B
Popular Services
Procedures
Showing 1–50 of 1,845 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99213 | Office o/p est low 20 min | 968,568 | $46.50 | $0.00 | $2,016.04 |
| 99214 | Office o/p est mod 30 min | 931,276 | $60.57 | $0.00 | $2,018.94 |
| T1015 | Clinic service | 789,407 | $131.58 | $0.00 | $1,833.94 |
| H0036 | Comm psy face-face per 15min | 496,447 | $70.89 | $0.00 | $218.07 |
| 85025 | Complete cbc w/auto diff wbc | 470,684 | $6.88 | $0.00 | $33.57 |
| T1016 | Case management | 448,657 | $3.31 | $0.00 | $390.63 |
| T1019 | Personal care ser per 15 min | 413,280 | $434.70 | $0.00 | $3,190.20 |
| D0120 | Periodic oral evaluation | 407,640 | $18.20 | $0.00 | $39.08 |
| 80053 | Comprehen metabolic panel | 398,112 | $7.99 | $0.00 | $31.15 |
| 99284 | Emergency dept visit mod mdm | 373,402 | $67.39 | $0.00 | $372.23 |
| 87804 | Influenza assay w/optic | 358,383 | $10.27 | $0.00 | $32.60 |
| S5170 | Homedelivered prepared meal | 329,483 | $37.01 | $33.80 | $39.46 |
| D1120 | Dental prophylaxis child | 312,978 | $26.19 | $0.00 | $43.10 |
| 92507 | Tx sp lang voice comm indiv | 307,482 | $49.99 | $0.00 | $115.06 |
| D1354 | Int caries med app per tooth | 299,257 | $29.18 | $0.00 | $50.00 |
| 80061 | Lipid panel | 294,406 | $7.16 | $0.00 | $23.03 |
| D1208 | Topical app fluorid ex vrnsh | 291,505 | $13.73 | $0.00 | $25.00 |
| 97530 | Therapeutic activities | 291,186 | $41.10 | $0.00 | $137.43 |
| 87880 | Strep a assay w/optic | 285,046 | $10.16 | $0.00 | $22.68 |
| 83036 | Hemoglobin glycosylated a1c | 254,072 | $5.04 | $0.00 | $18.66 |
| S5130 | Homaker service nos per 15m | 238,072 | $37.73 | $0.00 | $39.93 |
| 99283 | Emergency dept visit low mdm | 236,041 | $47.01 | $0.00 | $232.54 |
| 90837 | Psytx w pt 60 minutes | 211,440 | $93.04 | $0.00 | $164.84 |
| 87661 | Trichomonas vaginalis amplif | 185,534 | $12.25 | $0.00 | $28.42 |
| 87491 | Chlmyd trach dna amp probe | 183,787 | $19.11 | $0.00 | $23.80 |
| 87591 | N.gonorrhoeae dna amp prob | 182,747 | $19.77 | $0.00 | $43.88 |
| D1206 | Topical fluoride varnish | 182,564 | $21.66 | $0.00 | $33.68 |
| 36415 | Coll venous bld venipuncture | 179,726 | $1.78 | $0.00 | $18.18 |
| D0272 | Dental bitewings two images | 179,082 | $16.39 | $0.00 | $26.00 |
| 84443 | Assay thyroid stim hormone | 177,658 | $11.56 | $0.00 | $24.54 |
| H0033 | Oral med adm direct observe | 177,265 | $13.97 | $0.00 | $54.93 |
| 71045 | X-ray exam chest 1 view | 169,595 | $5.01 | $0.00 | $36.38 |
| 87811 | Sars-cov-2 covid19 w/optic | 157,170 | $18.21 | $0.00 | $38.24 |
| 82306 | Vitamin d 25 hydroxy | 155,612 | $14.11 | $0.00 | $29.00 |
| 87635 | Sars-cov-2 covid-19 amp prb | 148,686 | $35.32 | $0.00 | $62.37 |
| 3008F | Body mass index docd | 147,030 | $0.00 | $0.00 | $0.00 |
| 99309 | Sbsq nf care moderate mdm 30 | 143,657 | $14.86 | $0.00 | $124.50 |
| 87389 | Hiv-1 ag w/hiv-1&-2 ab ag ia | 141,214 | $15.21 | $0.00 | $33.41 |
| 87798 | Detect agent nos dna amp | 138,533 | $87.80 | $0.00 | $337.40 |
| 99173 | Visual acuity screen | 137,673 | $3.25 | $0.00 | $41.00 |
| 87086 | Urine culture/colony count | 137,474 | $5.30 | $0.00 | $17.66 |
| 87651 | Strep a dna amp probe | 136,592 | $20.66 | $0.00 | $43.88 |
| 97110 | Therapeutic exercises | 136,579 | $26.49 | $0.00 | $122.68 |
| A0425 | Ground mileage | 134,133 | $58.36 | $0.00 | $509.29 |
| D9230 | Analgesia | 132,222 | $23.55 | $0.00 | $34.55 |
| 80050 | General health panel | 131,074 | $21.68 | $0.00 | $68.26 |
| 99308 | Sbsq nf care low mdm 20 | 130,222 | $3.51 | $0.00 | $59.64 |
| 92015 | Determine refractive state | 129,456 | $7.56 | $0.00 | $20.00 |
| 87633 | Resp virus 12-25 targets | 126,553 | $157.84 | $0.00 | $279.88 |
| 99285 | Emergency dept visit hi mdm | 125,386 | $124.52 | $0.00 | $436.22 |