Georgia Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Georgia, based on 2024 claims data.
2024 Overview
Procedures
2.0K
Total Claims
13.3M
Total Paid
$684.2M
Popular Services
Procedures
Showing 1–50 of 1,962 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99213 | Office o/p est low 20 min | 505,524 | $77.07 | $0.00 | $323.61 |
| T1019 | Personal care ser per 15 min | 398,717 | $99.78 | $0.00 | $2,391.54 |
| A0120 | Noner transport mini-bus | 354,721 | $0.00 | $0.00 | $0.00 |
| 99214 | Office o/p est mod 30 min | 341,324 | $75.08 | $0.00 | $221.17 |
| 85025 | Complete cbc w/auto diff wbc | 291,033 | $4.66 | $0.00 | $21.16 |
| 80053 | Comprehen metabolic panel | 284,669 | $6.81 | $0.00 | $104.38 |
| S5125 | Attendant care service /15m | 271,706 | $95.14 | $88.52 | $181.43 |
| T2025 | Waiver service, nos | 209,778 | $139.12 | $38.47 | $1,342.94 |
| 36415 | Coll venous bld venipuncture | 196,419 | $1.68 | $0.00 | $323.52 |
| 90837 | Psytx w pt 60 minutes | 170,931 | $86.16 | $13.06 | $285.17 |
| 80061 | Lipid panel | 170,766 | $6.49 | $0.00 | $19.86 |
| T2003 | N-et; encounter/trip | 151,760 | $0.94 | $0.00 | $372.98 |
| 99284 | Emergency dept visit mod mdm | 148,347 | $225.82 | $0.00 | $708.12 |
| 99283 | Emergency dept visit low mdm | 126,363 | $179.10 | $0.00 | $432.31 |
| 83036 | Hemoglobin glycosylated a1c | 125,703 | $4.10 | $0.00 | $13.66 |
| 80307 | Drug test prsmv chem anlyzr | 124,414 | $27.23 | $0.00 | $118.93 |
| 3008F | Body mass index docd | 120,703 | $0.00 | $0.00 | $0.00 |
| 87880 | Strep a assay w/optic | 109,494 | $7.26 | $0.00 | $17.63 |
| S0215 | Nonemerg transp mileage | 109,488 | $0.00 | $0.00 | $7.14 |
| 71045 | X-ray exam chest 1 view | 107,310 | $10.18 | $0.00 | $235.01 |
| D0120 | Periodic oral evaluation | 105,974 | $22.54 | $0.00 | $111.79 |
| 84443 | Assay thyroid stim hormone | 103,717 | $8.12 | $0.00 | $21.81 |
| D1120 | Dental prophylaxis child | 100,419 | $32.67 | $0.00 | $522.41 |
| 92507 | Tx sp lang voice comm indiv | 100,325 | $58.46 | $0.56 | $206.49 |
| T2017 | Habil res waiver 15 min | 96,830 | $205.01 | $70.53 | $1,798.05 |
| 90460 | Im admin 1st/only component | 91,218 | $43.00 | $1.36 | $100.83 |
| 87804 | Influenza assay w/optic | 91,143 | $6.56 | $0.00 | $110.00 |
| 87086 | Urine culture/colony count | 88,229 | $4.96 | $0.00 | $131.39 |
| 99212 | Office o/p est sf 10 min | 86,332 | $62.08 | $0.00 | $699.14 |
| G0480 | Drug test def 1-7 classes | 83,746 | $37.81 | $0.00 | $120.99 |
| D1208 | Topical app fluorid ex vrnsh | 82,235 | $18.44 | $0.00 | $542.30 |
| 99285 | Emergency dept visit hi mdm | 80,460 | $401.84 | $0.00 | $1,196.52 |
| 87491 | Chlmyd trach dna amp probe | 77,085 | $16.73 | $0.00 | $159.22 |
| 87591 | N.gonorrhoeae dna amp prob | 76,337 | $15.03 | $0.00 | $28.25 |
| 82306 | Vitamin d 25 hydroxy | 76,073 | $16.83 | $0.00 | $435.04 |
| 97530 | Therapeutic activities | 75,200 | $71.23 | $0.00 | $158.33 |
| T2033 | Res, nos waiver per diem | 74,713 | $524.87 | $67.95 | $9,628.56 |
| A0100 | Nonemergency transport taxi | 74,516 | $0.00 | $0.00 | $0.00 |
| T2022 | Case management, per month | 67,914 | $199.62 | $71.73 | $243.53 |
| A0130 | Noner transport wheelch van | 67,676 | $0.00 | $0.00 | $0.00 |
| 81001 | Urinalysis auto w/scope | 63,982 | $2.21 | $0.00 | $50.02 |
| D1351 | Dental sealant per tooth | 63,524 | $32.31 | $0.00 | $1,247.55 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 62,707 | $35.57 | $0.00 | $74.36 |
| 71046 | X-ray exam chest 2 views | 60,331 | $30.34 | $0.00 | $198.07 |
| 1159F | Med list docd in rcrd | 60,139 | $0.00 | $0.00 | $0.00 |
| D0220 | Intraoral periapical first | 60,051 | $13.97 | $0.00 | $206.03 |
| D0272 | Dental bitewings two images | 58,601 | $22.38 | $0.00 | $286.33 |
| 87426 | Sarscov coronavirus ag ia | 57,169 | $23.40 | $0.00 | $43.42 |
| 1160F | Rvw meds by rx/dr in rcrd | 57,136 | $0.00 | $0.00 | $0.12 |
| 80050 | General health panel | 56,802 | $17.60 | $0.00 | $22.85 |