Florida Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Florida, based on 2024 claims data.
2024 Overview
Procedures
3.1K
Total Claims
122.1M
Total Paid
$5.2B
Popular Services
Procedures
Showing 1–50 of 3,110 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| T1019 | Personal care ser per 15 min | 7,954,606 | $68.72 | $0.00 | $265.48 |
| S5130 | Homaker service nos per 15m | 7,875,861 | $45.63 | $0.00 | $362.78 |
| S5170 | Homedelivered prepared meal | 3,235,486 | $11.21 | $1.20 | $220.80 |
| 99213 | Office o/p est low 20 min | 2,701,602 | $41.37 | $0.00 | $283.33 |
| 92507 | Tx sp lang voice comm indiv | 2,336,838 | $51.54 | $0.00 | $477.94 |
| H2019 | Ther behav svc, per 15 min | 2,270,181 | $70.54 | $0.00 | $787.60 |
| T1017 | Targeted case management | 2,244,651 | $62.38 | $0.00 | $566.72 |
| H2017 | Psysoc rehab svc, per 15 min | 2,217,682 | $114.64 | $0.00 | $480.48 |
| 99214 | Office o/p est mod 30 min | 2,194,688 | $50.83 | $0.00 | $315.51 |
| 85025 | Complete cbc w/auto diff wbc | 2,092,114 | $1.57 | $0.00 | $143.47 |
| 80053 | Comprehen metabolic panel | 1,936,815 | $2.33 | $0.00 | $1,513.12 |
| 97530 | Therapeutic activities | 1,729,681 | $45.22 | $0.00 | $186.77 |
| S9122 | Home health aide or certifie | 1,650,915 | $121.64 | $0.00 | $600.00 |
| S5135 | Adult companioncare per 15m | 1,548,263 | $49.52 | $0.00 | $505.41 |
| T1004 | Nsg aide service up to 15min | 1,492,425 | $70.44 | $0.00 | $175.26 |
| 99284 | Emergency dept visit mod mdm | 1,340,451 | $87.27 | $0.00 | $1,136.41 |
| A0100 | Nonemergency transport taxi | 1,142,469 | $21.27 | $0.00 | $25.23 |
| 92508 | Tx sp lang voice comm group | 1,081,151 | $3.16 | $0.00 | $16.70 |
| 99309 | Sbsq nf care moderate mdm 30 | 1,078,084 | $5.80 | $0.00 | $162.45 |
| D1330 | Oral hygiene instructions | 1,070,952 | $2.61 | $0.00 | $49.19 |
| 99283 | Emergency dept visit low mdm | 1,027,400 | $121.83 | $0.00 | $854.47 |
| S5102 | Adult day care per diem | 1,016,730 | $120.42 | $0.00 | $2,016.00 |
| 3008F | Body mass index docd | 986,582 | $0.01 | $0.00 | $11.54 |
| 1160F | Rvw meds by rx/dr in rcrd | 950,192 | $0.01 | $0.00 | $7.84 |
| 80061 | Lipid panel | 843,191 | $4.29 | $0.00 | $34.66 |
| D0230 | Intraoral periapical ea add | 839,099 | $2.96 | $0.00 | $103.28 |
| A0425 | Ground mileage | 828,477 | $12.67 | $0.00 | $130.67 |
| 3074F | Syst bp lt 130 mm hg | 823,039 | $0.32 | $0.00 | $25.00 |
| 81001 | Urinalysis auto w/scope | 786,132 | $0.79 | $0.00 | $76.89 |
| 71045 | X-ray exam chest 1 view | 774,376 | $3.21 | $0.00 | $76.83 |
| 99308 | Sbsq nf care low mdm 20 | 754,214 | $4.90 | $0.00 | $160.00 |
| D0120 | Periodic oral evaluation | 750,558 | $15.34 | $0.00 | $159.10 |
| 3078F | Diast bp <80 mm hg | 750,125 | $0.01 | $0.00 | $11.52 |
| 2001F | Weight record | 711,242 | $0.02 | $0.00 | $4.16 |
| 90460 | Im admin 1st/only component | 711,044 | $24.37 | $0.00 | $159.89 |
| D0220 | Intraoral periapical first | 710,655 | $2.31 | $0.00 | $24.94 |
| 97110 | Therapeutic exercises | 705,930 | $41.08 | $0.00 | $203.00 |
| 83036 | Hemoglobin glycosylated a1c | 700,200 | $2.76 | $0.00 | $46.47 |
| 85027 | Complete cbc automated | 691,310 | $1.05 | $0.00 | $41.51 |
| 36415 | Coll venous bld venipuncture | 674,523 | $0.70 | $0.00 | $146.38 |
| 84443 | Assay thyroid stim hormone | 652,841 | $4.75 | $0.00 | $167.87 |
| D1120 | Dental prophylaxis child | 647,577 | $19.15 | $0.00 | $434.64 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 605,848 | $18.83 | $0.00 | $368.84 |
| 1159F | Med list docd in rcrd | 579,779 | $0.00 | $0.00 | $7.25 |
| T1015 | Clinic service | 570,538 | $55.96 | $0.00 | $469.93 |
| S5150 | Unskilled respite care /15m | 558,292 | $68.82 | $0.00 | $220.95 |
| D1351 | Dental sealant per tooth | 553,173 | $9.60 | $0.00 | $207.53 |
| 99285 | Emergency dept visit hi mdm | 544,919 | $81.01 | $0.00 | $1,495.96 |
| D1208 | Topical app fluorid ex vrnsh | 535,017 | $8.24 | $0.00 | $42.67 |
| 80048 | Basic metabolic pnl total ca | 529,814 | $1.20 | $0.00 | $46.52 |