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 51–100 of 1,460 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| D0220 | Intraoral periapical first | 71,541 | $8.13 | $0.00 | $24.29 |
| 97530 | Therapeutic activities | 71,299 | $31.94 | $0.00 | $130.67 |
| T1019 | Personal care ser per 15 min | 70,542 | $52.13 | $6.18 | $155.61 |
| 99285 | Emergency dept visit hi mdm | 68,663 | $171.69 | $35.04 | $2,418.99 |
| 99281 | Emr dpt vst mayx req phy/qhp | 66,830 | $14.61 | $0.00 | $427.19 |
| 90832 | Psytx w pt 30 minutes | 65,298 | $47.29 | $0.00 | $149.35 |
| 90853 | Group psychotherapy | 64,060 | $56.22 | $0.00 | $141.27 |
| 87880 | Strep a assay w/optic | 62,538 | $12.40 | $0.00 | $121.20 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 61,911 | $33.80 | $0.00 | $131.51 |
| H2025 | Supp maint employ, 15 min | 60,028 | $303.72 | $89.19 | $2,706.67 |
| H0019 | Alcohol and/or drug services | 59,734 | $179.16 | $71.79 | $24,427.49 |
| 96127 | Brief emotional/behav assmt | 59,670 | $42.06 | $0.00 | $125.94 |
| 90471 | Immunization admin | 59,532 | $8.24 | $0.00 | $64.06 |
| A0425 | Ground mileage | 59,337 | $15.71 | $0.00 | $396.57 |
| D0274 | Bitewings four images | 56,482 | $17.65 | $0.00 | $50.12 |
| 92015 | Determine refractive state | 56,261 | $9.77 | $0.00 | $18.28 |
| 71046 | X-ray exam chest 2 views | 55,786 | $12.88 | $0.00 | $256.34 |
| 71045 | X-ray exam chest 1 view | 55,774 | $9.87 | $1.29 | $135.78 |
| G2211 | Complex e/m visit add on | 54,623 | $8.77 | $0.00 | $72.95 |
| D0230 | Intraoral periapical ea add | 54,300 | $6.51 | $0.00 | $18.75 |
| D0999 | Unspecified diagnostic proce | 53,377 | $231.38 | $0.00 | $708.24 |
| T2001 | N-et; patient attend/escort | 52,554 | $17.67 | $0.07 | $34.89 |
| 87651 | Strep a dna amp probe | 52,166 | $33.32 | $0.00 | $100.19 |
| D0150 | Comprehensve oral evaluation | 50,386 | $21.46 | $0.00 | $59.95 |
| H0038 | Self-help/peer svc per 15min | 48,752 | $16.43 | $0.00 | $475.00 |
| D0272 | Dental bitewings two images | 48,501 | $15.28 | $0.00 | $36.32 |
| S5102 | Adult day care per diem | 47,806 | $78.56 | $9.59 | $823.30 |
| 99392 | Prev visit est age 1-4 | 47,768 | $50.06 | $0.00 | $134.18 |
| 99391 | Per pm reeval est pat infant | 46,767 | $45.18 | $0.00 | $148.05 |
| H0033 | Oral med adm direct observe | 46,469 | $37.95 | $5.65 | $44.19 |
| S5130 | Homaker service nos per 15m | 45,819 | $29.87 | $3.28 | $49.93 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 45,009 | $76.24 | $10.45 | $351.63 |
| 90791 | Psych diagnostic evaluation | 44,343 | $117.25 | $0.00 | $229.79 |
| T2003 | N-et; encounter/trip | 43,609 | $37.85 | $10.00 | $619.11 |
| 98940 | Chiropract manj 1-2 regions | 41,534 | $20.56 | $3.12 | $26.88 |
| G0506 | Comp asses care plan ccm svc | 40,641 | $0.01 | $0.00 | $5.57 |
| 99211 | Off/op est may x req phy/qhp | 40,245 | $9.86 | $0.00 | $226.99 |
| H0018 | Alcohol and/or drug services | 39,542 | $455.32 | $107.99 | $3,014.79 |
| 97110 | Therapeutic exercises | 39,434 | $21.23 | $0.00 | $120.52 |
| D0140 | Limit oral eval problm focus | 39,115 | $19.98 | $0.00 | $69.56 |
| V2020 | Vision svcs frames purchases | 38,951 | $22.50 | $0.00 | $50.96 |
| D7140 | Extraction erupted tooth/exr | 36,627 | $62.23 | $0.00 | $128.13 |
| 99203 | Office o/p new low 30 min | 36,558 | $48.14 | $0.00 | $133.33 |
| 92014 | Compre oph exam est pt 1/> | 36,214 | $61.78 | $8.83 | $129.03 |
| D2392 | Post 2 srfc resinbased cmpst | 35,554 | $62.78 | $0.00 | $182.98 |
| 83036 | Hemoglobin glycosylated a1c | 35,383 | $4.02 | $0.00 | $66.58 |
| 90461 | Im admin each addl component | 35,227 | $10.45 | $0.00 | $52.55 |
| 90999 | Unlisted dialysis procedure | 35,139 | $70.34 | $11.48 | $236.14 |
| D1208 | Topical app fluorid ex vrnsh | 34,625 | $17.15 | $0.00 | $31.45 |
| 97153 | Adaptive behavior tx by tech | 34,230 | $188.04 | $47.04 | $418.52 |