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 101–150 of 1,460 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99309 | Sbsq nf care moderate mdm 30 | 33,723 | $16.35 | $0.00 | $90.69 |
| D0190 | Screening of a patient | 33,213 | $16.49 | $0.00 | $19.46 |
| H2034 | A/d halfway house, per diem | 33,185 | $208.11 | $70.94 | $1,055.05 |
| A7038 | Pos airway pressure filter | 33,106 | $7.18 | $0.90 | $27.15 |
| D0330 | Panoramic image | 32,944 | $20.16 | $0.00 | $110.11 |
| D0602 | Caries risk assess mod risk | 32,672 | $0.90 | $0.00 | $5.00 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | 32,589 | $2.91 | $0.00 | $20.26 |
| 99393 | Prev visit est age 5-11 | 32,345 | $46.25 | $0.00 | $116.50 |
| S5150 | Unskilled respite care /15m | 31,779 | $305.62 | $30.24 | $1,574.65 |
| S5126 | Attendant care service /diem | 30,701 | $343.90 | $131.78 | $496.85 |
| 97112 | Neuromuscular reeducation | 30,543 | $19.97 | $0.00 | $45.81 |
| 88305 | Tissue exam by pathologist | 30,066 | $58.05 | $0.00 | $191.96 |
| 80061 | Lipid panel | 29,821 | $9.97 | $0.00 | $76.11 |
| 80048 | Basic metabolic pnl total ca | 29,639 | $3.80 | $0.00 | $58.54 |
| 99215 | Office o/p est hi 40 min | 29,523 | $56.01 | $0.00 | $206.72 |
| 3351F | Neg scrn dep symp by deptool | 29,116 | $0.00 | $0.00 | $0.00 |
| H2023 | Supported employ, per 15 min | 29,108 | $58.51 | $19.83 | $202.61 |
| 4274F | Flu immuno admind rcvd | 27,933 | $0.00 | $0.00 | $0.00 |
| 84443 | Assay thyroid stim hormone | 27,325 | $11.13 | $0.00 | $112.53 |
| 81001 | Urinalysis auto w/scope | 27,015 | $1.89 | $0.00 | $95.53 |
| E0601 | Continuous positive airway pressure (cpap) device | 26,682 | $63.03 | $11.02 | $163.27 |
| 99212 | Office o/p est sf 10 min | 26,070 | $9.25 | $0.00 | $114.96 |
| 96372 | Ther/proph/diag inj sc/im | 26,053 | $7.17 | $0.00 | $110.10 |
| D9230 | Analgesia | 25,840 | $19.38 | $0.00 | $70.00 |
| 90833 | Psytx w pt w e/m 30 min | 25,537 | $47.80 | $0.00 | $88.52 |
| A0427 | Als1-emergency | 25,433 | $80.83 | $0.00 | $173.51 |
| D2391 | Post 1 srfc resinbased cmpst | 25,114 | $45.87 | $0.00 | $132.35 |
| 3079F | Diast bp 80-89 mm hg | 24,997 | $0.59 | $0.00 | $7.69 |
| D2930 | Prefab stnlss steel crwn pri | 24,702 | $96.58 | $0.00 | $243.54 |
| 90472 | Immunization admin each add | 23,649 | $4.29 | $0.00 | $35.92 |
| A0120 | Noner transport mini-bus | 23,625 | $5.62 | $1.20 | $19.57 |
| 90785 | Psytx complex interactive | 23,532 | $4.98 | $0.00 | $6.44 |
| 93005 | Electrocardiogram tracing | 23,457 | $3.76 | $0.00 | $132.65 |
| D1330 | Oral hygiene instructions | 22,768 | $11.62 | $0.00 | $18.08 |
| S9977 | Meals per diem | 22,609 | $39.94 | $0.00 | $65.34 |
| 90792 | Psych diag eval w/med srvcs | 22,471 | $132.20 | $0.00 | $279.83 |
| A4253 | Blood glucose/reagent strips | 22,093 | $25.35 | $1.66 | $44.01 |
| D0210 | Intraor comprehensive series | 21,890 | $36.56 | $0.00 | $121.48 |
| D0603 | Caries risk assess high risk | 21,540 | $0.72 | $0.00 | $5.00 |
| A0429 | Bls-emergency | 21,456 | $71.71 | $8.16 | $142.74 |
| T1017 | Targeted case management | 21,125 | $165.39 | $5.54 | $234.18 |
| 11721 | Debride nail 6 or more | 21,042 | $14.19 | $0.00 | $48.46 |
| 1034F | Current tobacco smoker | 20,964 | $0.00 | $0.00 | $0.00 |
| A0999 | Unlisted ambulance service | 20,823 | $1,154.64 | $288.12 | $2,836.91 |
| 99204 | Office o/p new mod 45 min | 20,289 | $76.22 | $0.00 | $210.48 |
| 74177 | Ct abd & pelvis w/contrast | 20,106 | $70.98 | $18.81 | $427.07 |
| 96374 | Ther/proph/diag inj iv push | 20,036 | $114.93 | $10.96 | $316.53 |
| 70450 | Ct head/brain w/o dye | 20,009 | $36.82 | $13.70 | $412.02 |
| A0110 | Nonemergency transport bus | 19,990 | $14.69 | $0.36 | $79.30 |
| J0574 | Bupren/nal 6.1 to 10mg bupre | 19,886 | $48.76 | $44.67 | $52.88 |