Michigan Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Michigan, based on 2024 claims data.
2024 Overview
Procedures
3.4K
Total Claims
94.1M
Total Paid
$6.2B
Popular Services
Procedures
Showing 1–50 of 3,361 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| H2015 | Comp comm supp svc, 15 min | 6,438,047 | $109.93 | $7.28 | $501.66 |
| 99213 | Office o/p est low 20 min | 3,091,449 | $56.26 | $0.00 | $441.27 |
| 99214 | Office o/p est mod 30 min | 2,767,167 | $80.31 | $0.00 | $624.26 |
| T1019 | Personal care ser per 15 min | 2,489,832 | $105.47 | $37.92 | $4,248.01 |
| H0020 | Alcohol and/or drug services | 1,965,995 | $19.65 | $18.52 | $35.23 |
| T1040 | Comm bh clinic svc per diem | 1,464,314 | $24.60 | $0.00 | $368.82 |
| H2014 | Skills train and dev, 15 min | 1,350,542 | $53.07 | $6.24 | $370.83 |
| 90837 | Psytx w pt 60 minutes | 1,237,371 | $113.16 | $0.00 | $492.46 |
| G0463 | Hospital outpt clinic visit | 1,176,526 | $51.91 | $0.00 | $171.39 |
| 85025 | Complete cbc w/auto diff wbc | 1,117,625 | $2.23 | $0.00 | $104.97 |
| S5135 | Adult companioncare per 15m | 1,097,687 | $112.95 | $52.32 | $171.86 |
| T1017 | Targeted case management | 1,095,692 | $268.17 | $0.00 | $697.39 |
| 97153 | Adaptive behavior tx by tech | 1,064,481 | $190.06 | $0.00 | $2,279.35 |
| 99284 | Emergency dept visit mod mdm | 996,659 | $128.97 | $0.00 | $446.86 |
| 36415 | Coll venous bld venipuncture | 987,787 | $2.58 | $0.00 | $11.54 |
| S5130 | Homaker service nos per 15m | 968,979 | $39.42 | $33.61 | $40.97 |
| H2016 | Comp comm supp svc, per diem | 930,331 | $479.51 | $41.95 | $13,160.50 |
| 80053 | Comprehen metabolic panel | 920,081 | $3.43 | $0.00 | $112.86 |
| A0100 | Nonemergency transport taxi | 879,714 | $20.54 | $20.15 | $53.06 |
| T1020 | Personal care ser per diem | 769,947 | $220.80 | $5.88 | $5,317.61 |
| 3074F | Syst bp lt 130 mm hg | 760,032 | $0.00 | $0.00 | $6.88 |
| A0110 | Nonemergency transport bus | 758,161 | $0.97 | $0.43 | $31.53 |
| S5161 | Emer rspns sys serv permonth | 719,235 | $27.94 | $0.00 | $3,186.09 |
| G0467 | Fqhc visit, estab pt | 714,973 | $74.48 | $0.00 | $719.00 |
| 97110 | Therapeutic exercises | 711,881 | $23.30 | $0.00 | $808.60 |
| 99285 | Emergency dept visit hi mdm | 672,967 | $216.23 | $0.00 | $793.61 |
| 3078F | Diast bp <80 mm hg | 653,349 | $0.00 | $0.00 | $0.05 |
| D0120 | Periodic oral evaluation | 624,183 | $28.31 | $0.00 | $249.10 |
| D1351 | Dental sealant per tooth | 610,054 | $29.36 | $0.00 | $148.05 |
| 99283 | Emergency dept visit low mdm | 594,580 | $122.08 | $0.00 | $384.29 |
| D0230 | Intraoral periapical ea add | 576,625 | $9.60 | $0.00 | $27.04 |
| T2027 | Spec childcare waiver 15 min | 559,231 | $78.91 | $26.70 | $157.60 |
| 97530 | Therapeutic activities | 543,702 | $42.93 | $0.00 | $1,808.73 |
| T1015 | Clinic service | 537,938 | $51.12 | $0.00 | $251.29 |
| D0220 | Intraoral periapical first | 518,265 | $14.60 | $0.00 | $45.95 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 518,099 | $46.58 | $0.00 | $139.46 |
| S5170 | Homedelivered prepared meal | 517,133 | $58.39 | $5.33 | $313.29 |
| 96372 | Ther/proph/diag inj sc/im | 514,929 | $23.92 | $0.00 | $397.87 |
| 90834 | Psytx w pt 45 minutes | 493,883 | $94.07 | $0.00 | $360.49 |
| D1206 | Topical fluoride varnish | 479,021 | $26.19 | $0.00 | $38.52 |
| D1120 | Dental prophylaxis child | 463,536 | $40.64 | $0.00 | $94.00 |
| 3008F | Body mass index docd | 462,337 | $0.00 | $0.00 | $0.02 |
| T1005 | Respite care service 15 min | 442,878 | $94.00 | $12.80 | $468.54 |
| 84443 | Assay thyroid stim hormone | 426,898 | $7.84 | $0.00 | $14.07 |
| 97140 | Manual therapy 1/> regions | 423,009 | $15.07 | $0.00 | $44.72 |
| 97112 | Neuromuscular reeducation | 412,226 | $22.91 | $0.00 | $61.13 |
| 83036 | Hemoglobin glycosylated a1c | 404,485 | $4.61 | $0.00 | $16.14 |
| 80061 | Lipid panel | 380,324 | $11.94 | $0.00 | $599.95 |
| 93010 | Electrocardiogram report | 363,425 | $4.86 | $0.00 | $11.84 |
| 99203 | Office o/p new low 30 min | 353,563 | $65.93 | $0.00 | $300.00 |