Minnesota Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Minnesota, based on 2024 claims data.
2024 Overview
Procedures
2.2K
Total Claims
38.4M
Total Paid
$4.1B
Popular Services
Procedures
Showing 1–50 of 2,156 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| S5140 | Adult foster care per diem | 1,653,033 | $337.16 | $118.92 | $1,744.99 |
| T2031 | Assist living waiver/diem | 1,421,977 | $215.41 | $0.00 | $5,753.78 |
| T2003 | N-et; encounter/trip | 1,345,531 | $39.15 | $0.00 | $2,607.89 |
| T1016 | Case management | 1,299,525 | $52.73 | $0.00 | $719.00 |
| T1018 | School-based iep ser bundled | 1,209,967 | $42.48 | $0.00 | $307.44 |
| H0020 | Alcohol and/or drug services | 1,147,431 | $15.16 | $0.00 | $34.48 |
| H2035 | A/d tx program, per hour | 1,072,758 | $147.05 | $0.00 | $719.00 |
| S0215 | Nonemerg transp mileage | 1,024,714 | $23.66 | $0.00 | $858.82 |
| 99214 | Office o/p est mod 30 min | 1,024,033 | $103.68 | $0.00 | $719.00 |
| 99213 | Office o/p est low 20 min | 1,001,489 | $88.11 | $0.00 | $719.00 |
| S5170 | Homedelivered prepared meal | 866,966 | $8.67 | $0.00 | $242.15 |
| T1019 | Personal care ser per 15 min | 784,113 | $104.53 | $0.00 | $182.73 |
| 90837 | Psytx w pt 60 minutes | 740,943 | $121.77 | $0.00 | $719.00 |
| S5130 | Homaker service nos per 15m | 734,339 | $73.50 | $0.00 | $195.43 |
| 36415 | Coll venous bld venipuncture | 590,865 | $11.93 | $0.00 | $1,147.81 |
| H2017 | Psysoc rehab svc, per 15 min | 576,470 | $143.04 | $0.00 | $706.39 |
| G0463 | Hospital outpt clinic visit | 549,259 | $93.21 | $0.00 | $686.25 |
| T1013 | Sign lang/oral interpreter | 529,593 | $81.11 | $0.00 | $236.10 |
| H2014 | Skills train and dev, 15 min | 452,117 | $157.69 | $0.00 | $894.75 |
| A0100 | Nonemergency transport taxi | 450,686 | $16.60 | $0.00 | $37.07 |
| S5135 | Adult companioncare per 15m | 404,017 | $188.85 | $0.00 | $407.67 |
| 99284 | Emergency dept visit mod mdm | 323,060 | $164.55 | $7.94 | $872.75 |
| H2015 | Comp comm supp svc, 15 min | 317,678 | $130.48 | $0.00 | $468.32 |
| D1206 | Topical fluoride varnish | 304,111 | $33.60 | $0.00 | $663.69 |
| H0046 | Mental health service, nos | 294,420 | $14.44 | $0.00 | $300.34 |
| 80307 | Drug test prsmv chem anlyzr | 286,465 | $40.50 | $0.00 | $221.59 |
| D0120 | Periodic oral evaluation | 284,452 | $54.60 | $0.00 | $699.57 |
| H0038 | Self-help/peer svc per 15min | 281,440 | $86.15 | $0.00 | $697.67 |
| A0080 | Noninterest escort in non er | 278,840 | $34.31 | $0.00 | $153.98 |
| 97153 | Adaptive behavior tx by tech | 274,118 | $84.41 | $0.00 | $450.17 |
| 98941 | Chiropract manj 3-4 regions | 263,009 | $24.20 | $0.00 | $719.00 |
| S5100 | Adult daycare services 15min | 260,637 | $104.23 | $0.00 | $489.29 |
| 97530 | Therapeutic activities | 252,562 | $62.64 | $4.11 | $174.38 |
| 90834 | Psytx w pt 45 minutes | 245,556 | $123.00 | $0.00 | $719.00 |
| 92507 | Tx sp lang voice comm indiv | 242,243 | $52.19 | $13.27 | $250.49 |
| 99283 | Emergency dept visit low mdm | 237,752 | $177.72 | $0.00 | $3,238.89 |
| D0230 | Intraoral periapical ea add | 225,593 | $12.93 | $0.00 | $250.94 |
| S5125 | Attendant care service /15m | 219,590 | $137.19 | $31.82 | $341.51 |
| 92015 | Determine refractive state | 203,526 | $15.30 | $0.00 | $684.76 |
| S0302 | Completed epsdt | 197,705 | $37.69 | $0.00 | $117.45 |
| T2023 | Targeted case mgmt per month | 196,527 | $540.79 | $0.00 | $1,614.47 |
| H0032 | Mh svc plan dev by non-md | 193,637 | $90.31 | $0.00 | $349.14 |
| 85025 | Complete cbc w/auto diff wbc | 192,837 | $8.63 | $0.00 | $152.44 |
| D0220 | Intraoral periapical first | 190,156 | $18.89 | $0.00 | $719.00 |
| D1110 | Dental prophylaxis adult | 188,101 | $62.10 | $0.00 | $719.00 |
| T2028 | Special supply, nos waiver | 185,416 | $89.60 | $60.38 | $346.66 |
| A0425 | Ground mileage | 180,278 | $102.17 | $0.00 | $1,641.70 |
| A0130 | Noner transport wheelch van | 179,106 | $22.82 | $0.00 | $69.44 |
| 99285 | Emergency dept visit hi mdm | 179,060 | $235.17 | $7.95 | $1,727.86 |
| S0209 | Wc van mileage per mi | 178,752 | $26.31 | $0.00 | $137.75 |