California Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in California, based on 2024 claims data.
2024 Overview
Procedures
4.8K
Total Claims
397.6M
Total Paid
$20.5B
Popular Services
Procedures
Showing 1–50 of 4,804 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99213 | Office o/p est low 20 min | 19,400,563 | $16.77 | $0.00 | $8,083.73 |
| T1015 | Clinic service | 17,391,305 | $225.03 | $0.00 | $2,087.45 |
| D0230 | Intraoral periapical ea add | 12,872,623 | $4.63 | $0.00 | $90.48 |
| 99214 | Office o/p est mod 30 min | 11,099,961 | $48.63 | $0.00 | $1,299.91 |
| 85025 | Complete cbc w/auto diff wbc | 7,751,717 | $3.66 | $0.00 | $305.93 |
| 80053 | Comprehen metabolic panel | 6,756,470 | $6.38 | $0.00 | $727.53 |
| S5102 | Adult day care per diem | 5,088,712 | $74.84 | $0.00 | $1,001.68 |
| A0425 | Ground mileage | 4,578,734 | $32.53 | $0.00 | $1,293.64 |
| 83036 | Hemoglobin glycosylated a1c | 4,298,379 | $3.57 | $0.00 | $62.33 |
| 3074F | Syst bp lt 130 mm hg | 4,281,108 | $0.04 | $0.00 | $62.52 |
| 3078F | Diast bp <80 mm hg | 4,209,777 | $0.03 | $0.00 | $47.06 |
| 80061 | Lipid panel | 3,838,290 | $4.28 | $0.00 | $60.12 |
| 99212 | Office o/p est sf 10 min | 3,752,472 | $11.46 | $0.00 | $557.11 |
| 36415 | Coll venous bld venipuncture | 3,739,549 | $2.88 | $0.00 | $2,166.75 |
| 90837 | Psytx w pt 60 minutes | 3,216,997 | $222.40 | $0.00 | $1,630.14 |
| 84443 | Assay thyroid stim hormone | 3,192,124 | $6.34 | $0.00 | $126.66 |
| 92508 | Tx sp lang voice comm group | 3,172,064 | $14.26 | $0.00 | $115.00 |
| 3008F | Body mass index docd | 3,010,174 | $0.04 | $0.00 | $5.00 |
| 99284 | Emergency dept visit mod mdm | 2,988,922 | $92.15 | $0.00 | $2,883.15 |
| D1120 | Dental prophylaxis child | 2,963,072 | $49.73 | $0.00 | $202.48 |
| 97110 | Therapeutic exercises | 2,849,394 | $24.73 | $0.00 | $621.48 |
| 90999 | Unlisted dialysis procedure | 2,829,331 | $168.47 | $0.00 | $4,042.26 |
| D0120 | Periodic oral evaluation | 2,828,427 | $69.06 | $0.00 | $106.07 |
| 1159F | Med list docd in rcrd | 2,822,804 | $0.00 | $0.00 | $6.85 |
| H0020 | Alcohol and/or drug services | 2,620,946 | $30.39 | $0.00 | $719.00 |
| 81001 | Urinalysis auto w/scope | 2,572,540 | $1.75 | $0.00 | $169.40 |
| D1208 | Topical app fluorid ex vrnsh | 2,372,748 | $16.62 | $0.00 | $66.00 |
| A0100 | Nonemergency transport taxi | 2,322,403 | $13.41 | $8.22 | $72.03 |
| 71045 | X-ray exam chest 1 view | 2,297,546 | $9.80 | $0.00 | $204.98 |
| 87491 | Chlmyd trach dna amp probe | 2,215,225 | $14.75 | $0.00 | $143.15 |
| H2019 | Ther behav svc, per 15 min | 2,202,497 | $174.59 | $0.00 | $4,137.28 |
| 1160F | Rvw meds by rx/dr in rcrd | 2,190,876 | $0.00 | $0.00 | $8.00 |
| 87591 | N.gonorrhoeae dna amp prob | 2,186,356 | $14.48 | $0.00 | $107.86 |
| G9012 | Other specified case mgmt | 2,161,952 | $117.26 | $0.00 | $1,394.46 |
| D0350 | Oral/facial photo images | 2,086,090 | $9.68 | $0.00 | $85.00 |
| 99285 | Emergency dept visit hi mdm | 1,945,287 | $102.37 | $0.00 | $4,920.20 |
| 1036F | Tobacco non-user | 1,938,681 | $0.01 | $0.00 | $59.50 |
| 99233 | Sbsq hosp ip/obs high 50 | 1,882,948 | $51.91 | $0.00 | $2,053.74 |
| H2017 | Psysoc rehab svc, per 15 min | 1,862,654 | $254.69 | $0.00 | $1,100.37 |
| G8510 | Scr dep neg, no plan reqd | 1,837,997 | $1.02 | $0.00 | $83.33 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 1,789,935 | $55.17 | $0.00 | $1,418.71 |
| 82306 | Vitamin d 25 hydroxy | 1,765,914 | $8.13 | $0.00 | $116.80 |
| T1017 | Targeted case management | 1,715,166 | $233.81 | $0.00 | $1,147.54 |
| 99283 | Emergency dept visit low mdm | 1,640,339 | $210.85 | $0.00 | $1,841.95 |
| 85027 | Complete cbc automated | 1,628,106 | $2.97 | $0.00 | $57.65 |
| 90471 | Immunization admin | 1,604,338 | $3.71 | $0.00 | $142.06 |
| D0150 | Comprehensve oral evaluation | 1,580,243 | $64.37 | $0.00 | $154.00 |
| A0380 | Basic life support mileage | 1,578,462 | $70.77 | $0.00 | $1,244.91 |
| 93010 | Electrocardiogram report | 1,530,640 | $9.14 | $0.00 | $70.56 |
| A0130 | Noner transport wheelch van | 1,482,483 | $54.05 | $0.00 | $429.91 |