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 51–100 of 3,110 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| S9124 | Nursing care, in the home; b | 517,758 | $665.17 | $201.42 | $975.20 |
| D1206 | Topical fluoride varnish | 507,774 | $10.01 | $0.00 | $47.29 |
| A0170 | Transport parking fees/tolls | 495,120 | $0.33 | $0.00 | $23.05 |
| T1021 | Hh aide or cn aide per visit | 484,293 | $24.95 | $0.00 | $74.04 |
| T1025 | Ped compr care pkg, per diem | 474,502 | $278.78 | $32.26 | $2,551.57 |
| H1000 | Prenatal care atrisk assessm | 428,017 | $54.73 | $0.00 | $181.62 |
| D0272 | Dental bitewings two images | 416,550 | $5.43 | $0.00 | $382.67 |
| 87804 | Influenza assay w/optic | 415,192 | $6.50 | $0.00 | $156.22 |
| 81003 | Urinalysis auto w/o scope | 403,024 | $0.62 | $0.00 | $78.77 |
| 83735 | Assay of magnesium | 400,299 | $1.05 | $0.00 | $54.53 |
| 87086 | Urine culture/colony count | 389,930 | $2.23 | $0.00 | $85.15 |
| H0040 | Assert comm tx pgm per diem | 387,419 | $29.86 | $0.00 | $31.55 |
| 1126F | Amnt pain noted none prsnt | 372,547 | $0.00 | $0.00 | $0.39 |
| A0130 | Noner transport wheelch van | 370,936 | $29.41 | $21.43 | $78.99 |
| 99392 | Prev visit est age 1-4 | 360,440 | $73.91 | $0.00 | $229.85 |
| D1110 | Dental prophylaxis adult | 347,445 | $27.01 | $0.00 | $229.19 |
| 87491 | Chlmyd trach dna amp probe | 344,844 | $13.60 | $0.00 | $46.57 |
| 87591 | N.gonorrhoeae dna amp prob | 338,213 | $12.61 | $0.00 | $33.14 |
| 82306 | Vitamin d 25 hydroxy | 337,492 | $10.55 | $0.00 | $86.11 |
| 97155 | Adapt behavior tx phys/qhp | 336,467 | $142.86 | $0.00 | $379.57 |
| D0150 | Comprehensve oral evaluation | 326,758 | $19.31 | $0.00 | $554.86 |
| 93010 | Electrocardiogram report | 322,078 | $4.33 | $0.00 | $23.71 |
| D0274 | Bitewings four images | 314,411 | $6.70 | $0.00 | $119.59 |
| 1036F | Tobacco non-user | 309,543 | $0.00 | $0.00 | $2.10 |
| H0031 | Mh health assess by non-md | 309,232 | $47.77 | $0.00 | $977.60 |
| 99233 | Sbsq hosp ip/obs high 50 | 298,923 | $33.02 | $0.00 | $335.90 |
| 99391 | Per pm reeval est pat infant | 297,083 | $71.47 | $0.00 | $175.78 |
| 92015 | Determine refractive state | 279,359 | $10.99 | $0.00 | $72.00 |
| A0427 | Als1-emergency | 263,957 | $120.80 | $0.00 | $238.38 |
| 84439 | Assay of free thyroxine | 263,262 | $3.15 | $0.00 | $65.11 |
| A4554 | Disposable underpads | 260,094 | $31.73 | $3.63 | $87.06 |
| 90999 | Unlisted dialysis procedure | 259,783 | $58.60 | $0.00 | $759.02 |
| 99393 | Prev visit est age 5-11 | 259,657 | $72.16 | $0.00 | $216.53 |
| 97153 | Adaptive behavior tx by tech | 256,195 | $163.61 | $0.00 | $477.65 |
| 82607 | Vitamin b-12 | 252,308 | $4.13 | $0.00 | $31.71 |
| 85018 | Hemoglobin | 251,718 | $1.17 | $0.00 | $27.62 |
| 90461 | Im admin each addl component | 249,710 | $12.35 | $0.00 | $107.72 |
| A4927 | Non-sterile gloves | 248,445 | $8.53 | $0.00 | $42.69 |
| H0032 | Mh svc plan dev by non-md | 233,946 | $65.43 | $0.00 | $363.94 |
| T2003 | N-et; encounter/trip | 232,784 | $32.09 | $0.00 | $858.88 |
| S0215 | Nonemerg transp mileage | 228,166 | $4.30 | $0.00 | $7.56 |
| A4239 | Non-adju cgm supply allow | 228,074 | $85.73 | $0.00 | $330.23 |
| A0110 | Nonemergency transport bus | 227,516 | $9.50 | $6.58 | $11.36 |
| D2392 | Post 2 srfc resinbased cmpst | 226,938 | $49.80 | $0.00 | $1,135.68 |
| 87426 | Sarscov coronavirus ag ia | 226,106 | $9.38 | $0.00 | $123.21 |
| 99173 | Visual acuity screen | 223,766 | $0.08 | $0.00 | $4.06 |
| P9603 | One-way allow prorated miles | 221,445 | $0.22 | $0.00 | $14.95 |
| 85610 | Prothrombin time | 219,900 | $0.63 | $0.00 | $5.16 |
| 71046 | X-ray exam chest 2 views | 218,576 | $7.87 | $0.00 | $168.14 |
| 84484 | Assay of troponin quant | 215,736 | $1.55 | $0.00 | $90.52 |