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 101–150 of 2,156 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 90832 | Psytx w pt 30 minutes | 68,814 | $133.94 | $0.00 | $719.00 |
| 74177 | Ct abd & pelvis w/contrast | 68,408 | $61.68 | $0.00 | $962.04 |
| 70450 | Ct head/brain w/o dye | 68,379 | $31.78 | $0.00 | $481.40 |
| 90833 | Psytx w pt w e/m 30 min | 68,303 | $68.50 | $0.00 | $706.35 |
| 88305 | Tissue exam by pathologist | 67,748 | $58.34 | $0.00 | $433.50 |
| S9123 | Nursing care in home rn | 67,358 | $172.06 | $0.00 | $719.00 |
| A0429 | Bls-emergency | 66,797 | $541.36 | $0.00 | $1,386.75 |
| T2019 | Habil sup empl waiver 15min | 66,216 | $83.44 | $43.49 | $987.16 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 63,944 | $72.20 | $0.00 | $142.32 |
| D1354 | Int caries med app per tooth | 63,299 | $36.24 | $0.00 | $80.64 |
| D0272 | Dental bitewings two images | 62,875 | $40.04 | $0.00 | $179.75 |
| 99233 | Sbsq hosp ip/obs high 50 | 60,871 | $80.73 | $4.43 | $230.97 |
| 99188 | App topical fluoride varnish | 60,462 | $8.63 | $0.00 | $159.66 |
| G0481 | Drug test def 8-14 classes | 59,331 | $105.22 | $0.00 | $193.78 |
| T4528 | Adult size pull-on xl | 57,797 | $113.84 | $42.86 | $247.18 |
| T2034 | Crisis interven waiver/diem | 56,167 | $64.09 | $32.34 | $123.73 |
| S5150 | Unskilled respite care /15m | 55,585 | $205.83 | $61.59 | $382.12 |
| 90472 | Immunization admin each add | 53,788 | $15.13 | $0.00 | $53.07 |
| 92004 | Compre oph exam new pt 1/> | 53,277 | $102.42 | $21.52 | $719.00 |
| H0044 | Supported housing, per month | 52,533 | $4,400.28 | $4,121.82 | $4,756.57 |
| 85027 | Complete cbc automated | 51,912 | $7.42 | $0.00 | $76.21 |
| 96110 | Developmental screen w/score | 50,481 | $6.82 | $0.00 | $23.14 |
| 97112 | Neuromuscular reeducation | 50,379 | $32.43 | $7.27 | $259.90 |
| E0483 | High frequency chest wall oscillation system, with full anterior and/or | 47,938 | $736.26 | $168.03 | $1,050.94 |
| 90460 | Im admin 1st/only component | 47,467 | $33.39 | $0.00 | $61.18 |
| T1017 | Targeted case management | 46,531 | $290.49 | $0.00 | $719.00 |
| G9002 | Mccd,maintenance rate | 46,100 | $173.58 | $0.00 | $229.00 |
| A4657 | Syringe w/wo needle | 45,836 | $4.07 | $0.00 | $894.81 |
| 99309 | Sbsq nf care moderate mdm 30 | 45,575 | $64.76 | $0.00 | $411.94 |
| 99392 | Prev visit est age 1-4 | 45,193 | $85.51 | $0.00 | $719.00 |
| A7038 | Pos airway pressure filter | 45,049 | $5.18 | $0.00 | $10.32 |
| 80061 | Lipid panel | 44,971 | $12.98 | $0.00 | $84.95 |
| A4287 | Disp col sto bag breast milk | 44,680 | $36.31 | $0.00 | $45.93 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 41,827 | $27.68 | $0.00 | $88.79 |
| T2021 | Day habil waiver per 15 min | 41,619 | $100.33 | $0.00 | $1,707.50 |
| T1030 | Rn home care per diem | 38,848 | $112.76 | $10.98 | $719.00 |
| H2036 | A/d tx program, per diem | 38,724 | $1,712.09 | $0.00 | $20,164.68 |
| 1159F | Med list docd in rcrd | 38,296 | $0.00 | $0.00 | $0.00 |
| E0601 | Continuous positive airway pressure (cpap) device | 37,602 | $45.57 | $0.00 | $132.70 |
| D9230 | Analgesia | 37,596 | $23.74 | $0.00 | $61.08 |
| 99391 | Per pm reeval est pat infant | 37,472 | $73.49 | $0.00 | $505.23 |
| 99203 | Office o/p new low 30 min | 37,014 | $77.60 | $0.00 | $505.23 |
| 81001 | Urinalysis auto w/scope | 36,494 | $6.15 | $0.00 | $156.90 |
| 84443 | Assay thyroid stim hormone | 35,613 | $14.73 | $0.00 | $60.03 |
| 99349 | Home/res vst est mod mdm 40 | 35,310 | $74.12 | $0.00 | $186.09 |
| 90853 | Group psychotherapy | 35,239 | $125.37 | $0.00 | $719.00 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | 34,368 | $4.51 | $0.00 | $31.69 |
| H0001 | Alcohol and/or drug assess | 33,138 | $147.82 | $0.00 | $719.00 |
| 90791 | Psych diagnostic evaluation | 33,067 | $153.83 | $23.37 | $719.00 |
| 93005 | Electrocardiogram tracing | 32,876 | $23.17 | $0.00 | $132.05 |