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 51–100 of 3,361 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| A0425 | Ground mileage | 353,241 | $68.96 | $7.92 | $574.26 |
| 71046 | X-ray exam chest 2 views | 350,489 | $21.96 | $0.00 | $255.38 |
| D1110 | Dental prophylaxis adult | 346,453 | $51.22 | $0.00 | $498.58 |
| 99204 | Office o/p new mod 45 min | 345,659 | $93.07 | $0.00 | $300.00 |
| T4541 | Large disposable underpad | 344,964 | $17.81 | $9.02 | $65.00 |
| 1036F | Tobacco non-user | 332,107 | $0.00 | $0.00 | $0.00 |
| 97155 | Adapt behavior tx phys/qhp | 329,376 | $182.10 | $0.00 | $1,126.52 |
| 71045 | X-ray exam chest 1 view | 318,569 | $14.16 | $0.00 | $193.64 |
| A4927 | Non-sterile gloves | 316,482 | $16.76 | $0.00 | $39.57 |
| 3079F | Diast bp 80-89 mm hg | 306,393 | $0.00 | $0.00 | $0.13 |
| H0038 | Self-help/peer svc per 15min | 305,579 | $89.99 | $0.00 | $2,033.25 |
| 90471 | Immunization admin | 304,263 | $13.00 | $0.00 | $50.95 |
| 83735 | Assay of magnesium | 301,164 | $1.12 | $0.00 | $6.66 |
| 80048 | Basic metabolic pnl total ca | 284,634 | $1.54 | $0.00 | $12.71 |
| 93005 | Electrocardiogram tracing | 284,051 | $1.76 | $0.00 | $33.07 |
| T4535 | Disposable liner/shield/pad | 277,307 | $28.42 | $17.54 | $105.13 |
| 81001 | Urinalysis auto w/scope | 276,562 | $0.55 | $0.00 | $2.74 |
| 81003 | Urinalysis auto w/o scope | 274,830 | $0.90 | $0.00 | $8.08 |
| 90832 | Psytx w pt 30 minutes | 262,075 | $58.54 | $0.00 | $371.99 |
| 96374 | Ther/proph/diag inj iv push | 255,818 | $93.75 | $1.01 | $178.29 |
| 81025 | Urine pregnancy test | 254,940 | $2.73 | $0.00 | $9.18 |
| 87880 | Strep a assay w/optic | 254,599 | $9.13 | $0.00 | $15.90 |
| T2033 | Res, nos waiver per diem | 251,681 | $71.60 | $4.77 | $146.37 |
| D2392 | Post 2 srfc resinbased cmpst | 251,235 | $114.23 | $0.00 | $259.91 |
| 80307 | Drug test prsmv chem anlyzr | 247,456 | $25.56 | $0.00 | $60.51 |
| D0150 | Comprehensve oral evaluation | 242,589 | $44.58 | $0.00 | $283.29 |
| 99233 | Sbsq hosp ip/obs high 50 | 241,989 | $69.83 | $0.00 | $89.98 |
| 98941 | Chiropract manj 3-4 regions | 237,915 | $22.96 | $2.96 | $34.63 |
| 82306 | Vitamin d 25 hydroxy | 236,391 | $13.67 | $0.00 | $25.92 |
| J1885 | Ketorolac tromethamine inj | 236,166 | $0.35 | $0.00 | $7.65 |
| D0274 | Bitewings four images | 232,049 | $28.34 | $0.00 | $73.17 |
| 87491 | Chlmyd trach dna amp probe | 231,566 | $15.68 | $0.00 | $48.42 |
| 87591 | N.gonorrhoeae dna amp prob | 226,961 | $15.71 | $0.00 | $48.42 |
| H0039 | Asser com tx face-face/15min | 222,838 | $238.88 | $104.44 | $1,130.06 |
| 96375 | Tx/pro/dx inj new drug addon | 220,560 | $29.53 | $2.72 | $115.47 |
| H2030 | Mh clubhouse svc, per 15 min | 218,717 | $101.73 | $1.00 | $383.07 |
| 92507 | Tx sp lang voice comm indiv | 216,885 | $60.68 | $21.70 | $1,831.75 |
| 87804 | Influenza assay w/optic | 213,964 | $11.20 | $0.00 | $30.16 |
| 99215 | Office o/p est hi 40 min | 212,297 | $105.67 | $0.00 | $881.70 |
| 96127 | Brief emotional/behav assmt | 210,696 | $2.91 | $0.00 | $447.80 |
| 1159F | Med list docd in rcrd | 208,776 | $0.01 | $0.00 | $0.48 |
| 99212 | Office o/p est sf 10 min | 208,582 | $39.20 | $0.00 | $546.61 |
| 87086 | Urine culture/colony count | 208,242 | $2.99 | $0.00 | $9.83 |
| D7140 | Extraction erupted tooth/exr | 203,670 | $82.35 | $0.00 | $231.92 |
| 85027 | Complete cbc automated | 202,799 | $2.20 | $0.00 | $19.18 |
| 96361 | Hydrate iv infusion add-on | 200,908 | $37.61 | $0.13 | $189.54 |
| 1160F | Rvw meds by rx/dr in rcrd | 200,902 | $0.00 | $0.00 | $0.03 |
| D0140 | Limit oral eval problm focus | 198,826 | $47.94 | $0.00 | $450.40 |
| V2020 | Vision svcs frames purchases | 197,677 | $21.90 | $0.00 | $49.97 |
| J2405 | Ondansetron hcl injection | 190,786 | $0.16 | $0.00 | $44.10 |