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 51–100 of 2,995 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 87086 | Urine culture/colony count | 271,670 | $2.25 | $0.00 | $38.73 |
| 82306 | Vitamin d 25 hydroxy | 268,085 | $9.99 | $0.00 | $127.01 |
| 80050 | General health panel | 260,942 | $15.81 | $0.00 | $277.35 |
| 90460 | Im admin 1st/only component | 259,420 | $34.94 | $0.00 | $99.72 |
| J3490 | Drugs unclassified injection | 259,119 | $0.77 | $0.00 | $298.21 |
| 93005 | Electrocardiogram tracing | 252,533 | $3.13 | $0.00 | $71.33 |
| 96374 | Ther/proph/diag inj iv push | 235,100 | $1.45 | $0.00 | $38.65 |
| 99309 | Sbsq nf care moderate mdm 30 | 234,161 | $49.96 | $0.00 | $94.30 |
| J8499 | Oral prescrip drug non chemo | 230,650 | $0.01 | $0.00 | $0.18 |
| A4657 | Syringe w/wo needle | 230,071 | $0.02 | $0.00 | $10.21 |
| 97112 | Neuromuscular reeducation | 227,328 | $32.74 | $0.00 | $239.42 |
| A9270 | Non-covered item or service | 218,342 | $0.03 | $0.00 | $13.89 |
| D0272 | Dental bitewings two images | 216,861 | $8.96 | $0.00 | $45.74 |
| J2405 | Ondansetron hcl injection | 212,673 | $0.02 | $0.00 | $9.55 |
| H2027 | Psychoed svc, per 15 min | 208,014 | $66.48 | $0.00 | $444.06 |
| 81003 | Urinalysis auto w/o scope | 207,511 | $0.31 | $0.00 | $7.38 |
| 96375 | Tx/pro/dx inj new drug addon | 205,131 | $2.69 | $0.00 | $41.59 |
| S0109 | Methadone oral 5mg | 203,051 | $7.39 | $6.30 | $9.39 |
| H0002 | Alcohol and/or drug screenin | 201,924 | $20.85 | $0.00 | $57.30 |
| 97140 | Manual therapy 1/> regions | 200,634 | $21.41 | $0.00 | $265.69 |
| 3008F | Body mass index docd | 200,269 | $0.00 | $0.00 | $0.13 |
| 83735 | Assay of magnesium | 199,590 | $0.61 | $0.00 | $6.70 |
| 99215 | Office o/p est hi 40 min | 194,219 | $78.25 | $0.00 | $290.64 |
| D1208 | Topical app fluorid ex vrnsh | 194,102 | $6.06 | $0.00 | $27.30 |
| 87661 | Trichomonas vaginalis amplif | 193,801 | $16.00 | $0.00 | $76.94 |
| T1002 | Rn services up to 15 minutes | 193,619 | $31.99 | $0.00 | $142.14 |
| 99203 | Office o/p new low 30 min | 192,299 | $76.22 | $0.00 | $244.70 |
| 87798 | Detect agent nos dna amp | 188,361 | $33.12 | $0.00 | $209.77 |
| 3074F | Syst bp lt 130 mm hg | 188,082 | $0.00 | $0.00 | $0.13 |
| H2016 | Comp comm supp svc, per diem | 187,204 | $245.50 | $0.00 | $1,218.26 |
| 84439 | Assay of free thyroxine | 183,055 | $3.71 | $0.00 | $38.98 |
| T1003 | Lpn/lvn services up to 15min | 179,744 | $15.09 | $0.00 | $57.11 |
| J7030 | Normal saline solution infus | 174,386 | $0.09 | $0.00 | $18.39 |
| 84484 | Assay of troponin quant | 173,071 | $0.19 | $0.00 | $20.14 |
| 99204 | Office o/p new mod 45 min | 172,708 | $83.90 | $0.00 | $184.94 |
| 3078F | Diast bp <80 mm hg | 172,206 | $0.00 | $0.00 | $1.35 |
| 74177 | Ct abd & pelvis w/contrast | 171,393 | $343.64 | $0.97 | $2,417.08 |
| 96372 | Ther/proph/diag inj sc/im | 170,518 | $6.03 | $0.00 | $74.70 |
| J1885 | Ketorolac tromethamine inj | 170,423 | $0.07 | $0.00 | $8.04 |
| 70450 | Ct head/brain w/o dye | 168,997 | $101.15 | $0.00 | $903.77 |
| 99211 | Off/op est may x req phy/qhp | 167,600 | $158.36 | $0.00 | $719.00 |
| 71046 | X-ray exam chest 2 views | 167,129 | $12.76 | $0.00 | $121.24 |
| H0015 | Alcohol and/or drug services | 166,442 | $123.10 | $0.00 | $645.42 |
| 83690 | Assay of lipase | 162,972 | $0.42 | $0.00 | $11.19 |
| D0274 | Bitewings four images | 161,737 | $11.28 | $0.00 | $65.18 |
| 80048 | Basic metabolic pnl total ca | 158,354 | $1.41 | $0.00 | $15.17 |
| S9480 | Intensive outpatient psychia | 156,232 | $332.07 | $0.00 | $1,484.81 |
| 81025 | Urine pregnancy test | 151,381 | $2.42 | $0.00 | $18.02 |
| 1159F | Med list docd in rcrd | 150,170 | $0.00 | $0.00 | $1.96 |
| H0025 | Alcohol and/or drug preventi | 149,762 | $31.78 | $0.00 | $246.47 |