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 101–150 of 3,361 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99392 | Prev visit est age 1-4 | 190,778 | $69.18 | $0.00 | $102.73 |
| S9976 | Lodging per diem | 189,927 | $65.14 | $20.00 | $566.81 |
| 90460 | Im admin 1st/only component | 187,888 | $33.42 | $0.00 | $98.29 |
| 74177 | Ct abd & pelvis w/contrast | 183,470 | $88.39 | $0.00 | $291.70 |
| S5199 | Personal care item nos each | 180,662 | $4.12 | $1.97 | $143.53 |
| G0480 | Drug test def 1-7 classes | 176,356 | $54.87 | $0.00 | $114.43 |
| 99391 | Per pm reeval est pat infant | 175,978 | $61.08 | $0.00 | $94.21 |
| S0215 | Nonemerg transp mileage | 174,672 | $24.12 | $3.03 | $288.78 |
| 83690 | Assay of lipase | 174,570 | $0.45 | $0.00 | $5.63 |
| H2023 | Supported employ, per 15 min | 173,778 | $124.07 | $10.26 | $851.93 |
| H0032 | Mh svc plan dev by non-md | 171,364 | $175.82 | $32.80 | $578.39 |
| G0470 | Fqhc visit, mh estab pt | 169,990 | $88.80 | $0.00 | $719.00 |
| A9270 | Non-covered item or service | 168,358 | $0.19 | $0.00 | $28.44 |
| 84484 | Assay of troponin quant | 167,477 | $0.21 | $0.00 | $15.31 |
| 88305 | Tissue exam by pathologist | 166,552 | $25.02 | $0.00 | $97.15 |
| 3075F | Syst bp ge 130 - 139mm hg | 164,318 | $0.00 | $0.00 | $0.01 |
| S5125 | Attendant care service /15m | 160,491 | $140.89 | $132.31 | $149.35 |
| H0036 | Comm psy face-face per 15min | 159,708 | $351.03 | $123.21 | $1,385.29 |
| 81002 | Urinalysis nonauto w/o scope | 158,115 | $2.14 | $0.00 | $4.00 |
| 82607 | Vitamin b-12 | 156,524 | $6.98 | $0.00 | $15.08 |
| 99393 | Prev visit est age 5-11 | 155,224 | $68.17 | $0.00 | $102.06 |
| 84439 | Assay of free thyroxine | 153,962 | $4.66 | $0.00 | $8.22 |
| D2391 | Post 1 srfc resinbased cmpst | 152,342 | $90.69 | $0.00 | $218.07 |
| J1100 | Dexamethasone sodium phos | 150,693 | $1.25 | $0.00 | $661.13 |
| G2211 | Complex e/m visit add on | 149,994 | $1.00 | $0.00 | $10.82 |
| 70450 | Ct head/brain w/o dye | 149,824 | $47.42 | $0.00 | $199.07 |
| 85610 | Prothrombin time | 149,365 | $0.76 | $0.00 | $5.09 |
| 92340 | Fit spectacles monofocal | 149,023 | $17.06 | $0.00 | $33.00 |
| D0272 | Dental bitewings two images | 145,094 | $20.11 | $0.00 | $38.57 |
| 90472 | Immunization admin each add | 139,292 | $23.11 | $0.00 | $92.84 |
| 82728 | Assay of ferritin | 136,139 | $6.69 | $0.00 | $10.96 |
| A0429 | Bls-emergency | 135,857 | $202.45 | $77.72 | $290.87 |
| J7030 | Normal saline solution infus | 135,324 | $0.03 | $0.00 | $3.68 |
| 90791 | Psych diagnostic evaluation | 134,617 | $226.03 | $0.00 | $716.39 |
| 83540 | Assay of iron | 133,154 | $3.25 | $0.00 | $8.57 |
| 99282 | Emergency dept visit sf mdm | 130,423 | $86.68 | $21.75 | $213.17 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 130,397 | $63.82 | $0.00 | $149.62 |
| 99223 | 1st hosp ip/obs high 75 | 128,168 | $101.87 | $0.00 | $121.97 |
| 92015 | Determine refractive state | 127,435 | $9.64 | $0.00 | $47.83 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 124,436 | $0.30 | $0.00 | $39.22 |
| A0427 | Als1-emergency | 123,985 | $271.89 | $91.23 | $384.99 |
| 99395 | Prev visit est age 18-39 | 123,432 | $72.42 | $0.00 | $111.55 |
| D0210 | Intraor comprehensive series | 122,704 | $61.91 | $0.00 | $178.99 |
| T2025 | Waiver service, nos | 121,695 | $102.02 | $29.35 | $361.32 |
| 87637 | Sarscov2&inf a&b&rsv amp prb | 121,467 | $76.68 | $0.00 | $168.02 |
| 90853 | Group psychotherapy | 120,777 | $70.39 | $0.00 | $718.00 |
| D1208 | Topical app fluorid ex vrnsh | 120,621 | $19.79 | $0.00 | $31.50 |
| T4527 | Adult size pull-on lg | 120,479 | $58.15 | $44.75 | $116.11 |
| 99309 | Sbsq nf care moderate mdm 30 | 119,376 | $32.42 | $0.00 | $100.21 |
| T4526 | Adult size pull-on med | 119,322 | $54.45 | $32.50 | $115.31 |