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 51–100 of 4,804 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 85018 | Hemoglobin | 1,426,888 | $0.59 | $0.00 | $674.00 |
| 80048 | Basic metabolic pnl total ca | 1,411,671 | $4.79 | $0.00 | $772.62 |
| D1206 | Topical fluoride varnish | 1,384,174 | $19.19 | $0.00 | $133.38 |
| 92507 | Tx sp lang voice comm indiv | 1,383,928 | $49.81 | $0.00 | $292.55 |
| 81003 | Urinalysis auto w/o scope | 1,373,200 | $1.64 | $0.00 | $194.05 |
| H0032 | Mh svc plan dev by non-md | 1,332,855 | $178.85 | $0.00 | $1,450.00 |
| 92015 | Determine refractive state | 1,324,266 | $5.67 | $0.00 | $76.32 |
| 83735 | Assay of magnesium | 1,320,379 | $3.09 | $0.00 | $170.58 |
| D0274 | Bitewings four images | 1,296,761 | $19.87 | $0.00 | $75.52 |
| 80307 | Drug test prsmv chem anlyzr | 1,254,390 | $33.68 | $0.00 | $591.14 |
| 83690 | Assay of lipase | 1,250,825 | $4.07 | $0.00 | $99.03 |
| 1126F | Amnt pain noted none prsnt | 1,244,507 | $0.00 | $0.00 | $5.00 |
| 97140 | Manual therapy 1/> regions | 1,242,845 | $20.04 | $0.00 | $125.78 |
| 3079F | Diast bp 80-89 mm hg | 1,241,355 | $0.03 | $0.00 | $15.00 |
| D0220 | Intraoral periapical first | 1,232,282 | $10.85 | $0.00 | $116.00 |
| 81025 | Urine pregnancy test | 1,201,922 | $2.92 | $0.00 | $469.11 |
| 92551 | Pure tone hearing test air | 1,178,430 | $4.13 | $0.00 | $42.45 |
| D1351 | Dental sealant per tooth | 1,174,473 | $36.33 | $0.00 | $140.08 |
| 87086 | Urine culture/colony count | 1,170,873 | $3.04 | $0.00 | $76.32 |
| G9920 | Scrning perf and negative | 1,165,811 | $7.13 | $0.00 | $100.00 |
| 82565 | Assay of creatinine | 1,160,795 | $4.18 | $0.00 | $421.89 |
| 99173 | Visual acuity screen | 1,153,199 | $0.90 | $0.00 | $45.00 |
| 99204 | Office o/p new mod 45 min | 1,122,178 | $77.42 | $0.00 | $1,512.18 |
| 87389 | Hiv-1 ag w/hiv-1&-2 ab ag ia | 1,117,836 | $7.84 | $0.00 | $90.42 |
| 86592 | Syphilis test non-trep qual | 1,111,322 | $1.31 | $0.00 | $37.15 |
| 93005 | Electrocardiogram tracing | 1,107,687 | $21.93 | $0.00 | $164.40 |
| 90834 | Psytx w pt 45 minutes | 1,081,270 | $143.89 | $0.00 | $1,197.21 |
| S9977 | Meals per diem | 1,080,884 | $53.23 | $0.00 | $827.68 |
| 90832 | Psytx w pt 30 minutes | 1,063,275 | $48.07 | $0.00 | $787.16 |
| D0272 | Dental bitewings two images | 1,056,990 | $11.71 | $0.00 | $58.00 |
| 84484 | Assay of troponin quant | 1,055,582 | $6.60 | $0.00 | $174.53 |
| 97530 | Therapeutic activities | 1,050,617 | $24.19 | $0.00 | $213.56 |
| 85610 | Prothrombin time | 1,043,127 | $3.07 | $0.00 | $598.08 |
| 99215 | Office o/p est hi 40 min | 1,027,449 | $172.93 | $0.00 | $1,745.60 |
| 71046 | X-ray exam chest 2 views | 1,022,537 | $19.90 | $0.00 | $420.41 |
| 86803 | Hepatitis c ab test | 1,000,077 | $5.65 | $0.00 | $521.06 |
| 84439 | Assay of free thyroxine | 996,940 | $3.37 | $0.00 | $114.80 |
| 99000 | Specimen handling office-lab | 987,806 | $1.31 | $0.00 | $241.99 |
| D1310 | Nutri counsel-control caries | 982,942 | $41.82 | $0.00 | $74.81 |
| T4541 | Large disposable underpad | 972,983 | $52.34 | $0.00 | $148.14 |
| T2003 | N-et; encounter/trip | 965,293 | $19.11 | $0.00 | $294.57 |
| J3490 | Drugs unclassified injection | 948,962 | $21.10 | $0.00 | $1,199.68 |
| 99203 | Office o/p new low 30 min | 935,952 | $52.88 | $0.00 | $5,893.66 |
| 82570 | Assay of urine creatinine | 935,319 | $1.86 | $0.00 | $27.14 |
| 82043 | Ur albumin quantitative | 933,039 | $2.51 | $0.00 | $30.60 |
| V2020 | Vision svcs frames purchases | 921,367 | $11.88 | $0.00 | $225.00 |
| 99070 | Special supplies phys/qhp | 920,884 | $10.98 | $0.00 | $3,244.15 |
| D2392 | Post 2 srfc resinbased cmpst | 882,077 | $64.71 | $0.00 | $313.20 |
| 96372 | Ther/proph/diag inj sc/im | 860,787 | $26.06 | $0.00 | $728.66 |
| 82947 | Assay glucose blood quant | 858,780 | $1.81 | $0.00 | $57.02 |