Arizona Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Arizona, based on 2024 claims data.
2024 Overview
Procedures
3.0K
Total Claims
77.0M
Total Paid
$4.9B
Popular Services
Procedures
Showing 1–50 of 2,995 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| S5125 | Attendant care service /15m | 5,209,318 | $129.93 | $4.73 | $3,676.17 |
| T1016 | Case management | 4,668,101 | $38.53 | $0.00 | $250.99 |
| 99214 | Office o/p est mod 30 min | 2,485,982 | $56.96 | $0.00 | $271.19 |
| 99213 | Office o/p est low 20 min | 1,967,467 | $55.90 | $0.00 | $719.00 |
| H0004 | Alcohol and/or drug services | 1,800,288 | $76.88 | $0.00 | $291.04 |
| T1015 | Clinic service | 1,727,993 | $277.53 | $0.00 | $836.27 |
| T2017 | Habil res waiver 15 min | 1,394,548 | $112.09 | $38.19 | $176.41 |
| H2010 | Comprehensive med svc 15 min | 1,372,362 | $11.99 | $0.00 | $117.45 |
| H0020 | Alcohol and/or drug services | 1,284,501 | $3.58 | $0.00 | $37.43 |
| S0215 | Nonemerg transp mileage | 1,205,511 | $31.62 | $0.00 | $274.70 |
| 85025 | Complete cbc w/auto diff wbc | 1,130,119 | $1.13 | $0.00 | $18.41 |
| 80053 | Comprehen metabolic panel | 1,075,921 | $4.43 | $0.00 | $166.64 |
| A0120 | Noner transport mini-bus | 1,064,386 | $15.65 | $0.00 | $59.39 |
| A0100 | Nonemergency transport taxi | 1,049,121 | $15.22 | $0.00 | $285.58 |
| 36415 | Coll venous bld venipuncture | 910,805 | $2.23 | $0.00 | $15.90 |
| S5150 | Unskilled respite care /15m | 903,948 | $122.85 | $14.17 | $1,100.11 |
| 92507 | Tx sp lang voice comm indiv | 858,312 | $60.14 | $0.00 | $194.82 |
| A0425 | Ground mileage | 770,660 | $48.16 | $0.00 | $1,951.94 |
| H2014 | Skills train and dev, 15 min | 740,879 | $82.07 | $0.00 | $471.28 |
| 99284 | Emergency dept visit mod mdm | 712,080 | $179.18 | $0.00 | $760.02 |
| 97535 | Self care mngment training | 675,477 | $54.88 | $0.00 | $304.07 |
| 97530 | Therapeutic activities | 631,227 | $61.27 | $0.00 | $234.10 |
| T2016 | Habil res waiver per diem | 576,525 | $377.64 | $0.01 | $12,953.94 |
| 80061 | Lipid panel | 512,066 | $4.44 | $0.00 | $22.68 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 502,225 | $52.34 | $0.00 | $194.58 |
| 83036 | Hemoglobin glycosylated a1c | 477,078 | $3.21 | $0.00 | $15.51 |
| D0230 | Intraoral periapical ea add | 473,214 | $4.81 | $0.00 | $38.81 |
| 99283 | Emergency dept visit low mdm | 464,156 | $195.20 | $0.00 | $422.55 |
| 99285 | Emergency dept visit hi mdm | 464,097 | $236.02 | $0.00 | $1,138.91 |
| 99233 | Sbsq hosp ip/obs high 50 | 463,248 | $73.97 | $0.14 | $309.72 |
| 97110 | Therapeutic exercises | 457,751 | $36.71 | $0.00 | $604.74 |
| D0220 | Intraoral periapical first | 438,652 | $4.69 | $0.00 | $28.31 |
| D0120 | Periodic oral evaluation | 434,640 | $10.16 | $0.00 | $53.69 |
| 90999 | Unlisted dialysis procedure | 433,303 | $69.27 | $7.53 | $1,867.50 |
| 71045 | X-ray exam chest 1 view | 426,953 | $4.97 | $0.00 | $24.63 |
| T2021 | Day habil waiver per 15 min | 426,148 | $123.92 | $67.90 | $286.05 |
| H0038 | Self-help/peer svc per 15min | 425,799 | $45.00 | $0.00 | $253.07 |
| D1120 | Dental prophylaxis child | 415,173 | $15.77 | $0.00 | $86.56 |
| H0018 | Alcohol and/or drug services | 414,897 | $339.37 | $22.81 | $17,263.65 |
| 92508 | Tx sp lang voice comm group | 407,869 | $7.89 | $3.14 | $13.24 |
| D1206 | Topical fluoride varnish | 367,119 | $8.23 | $0.00 | $46.18 |
| H0046 | Mental health service, nos | 345,390 | $2.17 | $0.00 | $528.71 |
| A0130 | Noner transport wheelch van | 344,245 | $9.02 | $0.00 | $90.61 |
| S0209 | Wc van mileage per mi | 342,225 | $9.50 | $0.00 | $196.50 |
| H0031 | Mh health assess by non-md | 339,946 | $146.50 | $0.00 | $462.91 |
| 87491 | Chlmyd trach dna amp probe | 337,695 | $15.40 | $0.00 | $80.42 |
| 87591 | N.gonorrhoeae dna amp prob | 334,082 | $14.54 | $0.00 | $36.12 |
| 81001 | Urinalysis auto w/scope | 324,653 | $0.40 | $0.00 | $3.39 |
| 84443 | Assay thyroid stim hormone | 313,065 | $3.55 | $0.00 | $56.57 |
| 80307 | Drug test prsmv chem anlyzr | 305,031 | $31.33 | $0.00 | $571.85 |