Iowa Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Iowa, based on 2024 claims data.
2024 Overview
Procedures
1.5K
Total Claims
25.8M
Total Paid
$1.9B
Popular Services
Procedures
Showing 1–50 of 1,460 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| S5170 | Homedelivered prepared meal | 9,154,611 | $19.71 | $5.43 | $282.41 |
| H2016 | Comp comm supp svc, per diem | 1,173,121 | $436.40 | $47.93 | $18,577.13 |
| 99213 | Office o/p est low 20 min | 936,205 | $23.18 | $0.00 | $158.17 |
| T1015 | Clinic service | 779,444 | $195.46 | $0.00 | $695.66 |
| 99214 | Office o/p est mod 30 min | 621,591 | $34.75 | $0.00 | $187.86 |
| S5136 | Adult companioncare per diem | 501,236 | $447.73 | $202.16 | $12,535.47 |
| T2020 | Day habil waiver per diem | 435,408 | $113.63 | $0.77 | $1,723.14 |
| 90834 | Psytx w pt 45 minutes | 355,298 | $88.07 | $0.00 | $154.15 |
| G0463 | Hospital outpt clinic visit | 277,911 | $94.60 | $0.00 | $386.54 |
| 36415 | Coll venous bld venipuncture | 265,997 | $3.94 | $0.00 | $228.76 |
| 98941 | Chiropract manj 3-4 regions | 244,810 | $25.49 | $0.00 | $32.87 |
| D1206 | Topical fluoride varnish | 230,020 | $14.98 | $0.00 | $50.06 |
| D0120 | Periodic oral evaluation | 220,156 | $18.93 | $0.00 | $55.07 |
| 90837 | Psytx w pt 60 minutes | 209,873 | $96.92 | $0.00 | $184.96 |
| G0156 | Hhcp-svs of aide,ea 15 min | 206,090 | $60.51 | $0.00 | $142.26 |
| S0109 | Methadone oral 5mg | 188,156 | $5.66 | $1.38 | $29.20 |
| S5125 | Attendant care service /15m | 183,349 | $73.88 | $10.39 | $979.23 |
| 99284 | Emergency dept visit mod mdm | 179,836 | $132.43 | $18.59 | $880.32 |
| 85025 | Complete cbc w/auto diff wbc | 175,391 | $5.89 | $0.00 | $115.40 |
| H2019 | Ther behav svc, per 15 min | 160,555 | $116.57 | $5.86 | $227.55 |
| 99490 | Chrnc care mgmt staff 1st 20 | 152,501 | $167.01 | $0.00 | $200.97 |
| D1120 | Dental prophylaxis child | 148,668 | $26.13 | $0.00 | $59.67 |
| H2015 | Comp comm supp svc, 15 min | 146,160 | $151.24 | $37.98 | $3,342.42 |
| 80053 | Comprehen metabolic panel | 135,316 | $9.25 | $0.00 | $215.68 |
| S0215 | Nonemerg transp mileage | 127,222 | $38.50 | $15.00 | $66.34 |
| 99283 | Emergency dept visit low mdm | 120,757 | $129.00 | $0.00 | $539.02 |
| G9008 | Mccd,phys coor-care ovrsght | 118,299 | $0.00 | $0.00 | $2.63 |
| G0299 | Hhs/hospice of rn ea 15 min | 112,503 | $115.45 | $2.52 | $274.94 |
| 3008F | Body mass index docd | 111,487 | $0.01 | $0.00 | $15.55 |
| 2010F | Vital signs recorded | 104,568 | $0.00 | $0.00 | $3.89 |
| T2021 | Day habil waiver per 15 min | 101,970 | $56.53 | $12.16 | $824.96 |
| D9999 | Adjunctive procedure | 98,817 | $161.55 | $0.00 | $508.03 |
| 96159 | Hlth bhv ivntj indiv ea addl | 97,397 | $140.23 | $10.70 | $310.88 |
| 96158 | Hlth bhv ivntj indiv 1st 30 | 94,886 | $19.72 | $1.91 | $70.10 |
| H0040 | Assert comm tx pgm per diem | 93,641 | $61.77 | $21.37 | $83.91 |
| 96164 | Hlth bhv ivntj grp 1st 30 | 93,304 | $10.80 | $2.86 | $43.41 |
| T1020 | Personal care ser per diem | 92,014 | $212.92 | $58.81 | $943.67 |
| 2001F | Weight record | 91,569 | $0.01 | $0.00 | $5.18 |
| D1110 | Dental prophylaxis adult | 91,558 | $35.33 | $0.00 | $84.98 |
| 3074F | Syst bp lt 130 mm hg | 90,593 | $0.25 | $0.00 | $7.70 |
| 92507 | Tx sp lang voice comm indiv | 90,224 | $72.44 | $0.00 | $216.13 |
| 96165 | Hlth bhv ivntj grp ea addl | 89,572 | $72.12 | $18.20 | $158.48 |
| 2000F | Blood pressure measure | 88,811 | $0.00 | $0.00 | $0.00 |
| D1351 | Dental sealant per tooth | 88,168 | $21.58 | $0.00 | $86.40 |
| 1159F | Med list docd in rcrd | 82,117 | $0.00 | $0.00 | $0.00 |
| 1160F | Rvw meds by rx/dr in rcrd | 81,735 | $0.00 | $0.00 | $0.00 |
| 3078F | Diast bp <80 mm hg | 80,012 | $0.25 | $0.00 | $36.11 |
| 93010 | Electrocardiogram report | 77,947 | $6.39 | $2.02 | $11.73 |
| 90460 | Im admin 1st/only component | 76,458 | $28.95 | $0.00 | $98.40 |
| 1036F | Tobacco non-user | 72,304 | $0.01 | $0.00 | $10.60 |