Missouri Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Missouri, based on 2024 claims data.
2024 Overview
Procedures
1.7K
Total Claims
52.0M
Total Paid
$4.9B
Popular Services
Procedures
Showing 1–50 of 1,744 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| T1019 | Personal care ser per 15 min | 11,712,502 | $99.33 | $0.00 | $3,501.69 |
| A0100 | Nonemergency transport taxi | 5,444,114 | $29.53 | $0.00 | $140.17 |
| T1040 | Comm bh clinic svc per diem | 2,583,986 | $315.57 | $230.81 | $437.43 |
| H0036 | Comm psy face-face per 15min | 1,707,568 | $8.69 | $0.00 | $280.52 |
| T2016 | Habil res waiver per diem | 1,635,485 | $631.24 | $0.00 | $5,254.37 |
| S0215 | Nonemerg transp mileage | 1,596,717 | $17.84 | $0.00 | $261.22 |
| G9012 | Other specified case mgmt | 1,556,266 | $63.25 | $0.00 | $141.00 |
| A0090 | Interest escort in non er | 1,333,827 | $16.96 | $0.00 | $39.45 |
| A0110 | Nonemergency transport bus | 1,324,859 | $5.10 | $0.00 | $51.37 |
| 99213 | Office o/p est low 20 min | 1,110,224 | $66.80 | $0.00 | $429.47 |
| 99214 | Office o/p est mod 30 min | 1,048,172 | $77.34 | $0.00 | $571.47 |
| A0130 | Noner transport wheelch van | 878,901 | $49.28 | $0.00 | $99.20 |
| T2021 | Day habil waiver per 15 min | 871,110 | $248.34 | $0.00 | $2,142.22 |
| G0463 | Hospital outpt clinic visit | 758,626 | $88.88 | $0.00 | $294.11 |
| S5170 | Homedelivered prepared meal | 685,760 | $18.72 | $1.99 | $158.22 |
| S5150 | Unskilled respite care /15m | 626,000 | $76.26 | $0.00 | $1,099.61 |
| A0170 | Transport parking fees/tolls | 527,587 | $12.30 | $4.29 | $104.13 |
| H2017 | Psysoc rehab svc, per 15 min | 449,221 | $9.87 | $0.00 | $87.93 |
| 99283 | Emergency dept visit low mdm | 423,445 | $139.48 | $0.00 | $552.52 |
| 99284 | Emergency dept visit mod mdm | 407,528 | $154.46 | $0.00 | $826.93 |
| T1001 | Nursing assessment/evaluatn | 383,929 | $58.93 | $0.00 | $267.42 |
| 85025 | Complete cbc w/auto diff wbc | 375,081 | $5.09 | $0.00 | $486.61 |
| A0120 | Noner transport mini-bus | 332,612 | $25.75 | $18.95 | $1,153.78 |
| 80053 | Comprehen metabolic panel | 330,657 | $7.03 | $0.00 | $149.88 |
| S5100 | Adult daycare services 15min | 307,914 | $85.80 | $9.70 | $131.12 |
| H0037 | Comm psy sup tx pgm per diem | 302,152 | $58.45 | $0.00 | $821.88 |
| 97530 | Therapeutic activities | 282,813 | $35.65 | $0.00 | $144.95 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 264,248 | $44.87 | $0.00 | $149.41 |
| S5130 | Homaker service nos per 15m | 261,765 | $32.48 | $9.81 | $354.72 |
| 71045 | X-ray exam chest 1 view | 254,214 | $12.75 | $0.00 | $103.37 |
| 99285 | Emergency dept visit hi mdm | 238,086 | $209.57 | $0.00 | $1,160.11 |
| S0209 | Wc van mileage per mi | 231,848 | $4.96 | $0.00 | $721.70 |
| 90834 | Psytx w pt 45 minutes | 224,278 | $37.65 | $0.00 | $180.80 |
| A0425 | Ground mileage | 222,951 | $73.38 | $0.00 | $1,680.27 |
| H0025 | Alcohol and/or drug preventi | 213,020 | $6.43 | $0.00 | $48.18 |
| T2003 | N-et; encounter/trip | 209,823 | $30.17 | $0.00 | $137.55 |
| 93010 | Electrocardiogram report | 197,713 | $6.71 | $0.00 | $27.86 |
| H0020 | Alcohol and/or drug services | 192,225 | $35.32 | $0.00 | $349.43 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 179,820 | $31.35 | $0.00 | $165.82 |
| H0004 | Alcohol and/or drug services | 174,012 | $31.60 | $0.00 | $204.24 |
| 99309 | Sbsq nf care moderate mdm 30 | 173,717 | $28.27 | $0.00 | $184.78 |
| S5136 | Adult companioncare per diem | 167,716 | $273.54 | $217.57 | $324.66 |
| 99308 | Sbsq nf care low mdm 20 | 167,304 | $23.75 | $0.00 | $329.75 |
| 92508 | Tx sp lang voice comm group | 158,570 | $15.47 | $0.00 | $22.81 |
| 90999 | Unlisted dialysis procedure | 146,226 | $48.44 | $0.00 | $512.52 |
| G0176 | Opps/php/iop; activity thrpy | 141,887 | $82.59 | $80.93 | $95.53 |
| T1000 | Private duty/independent nsg | 139,665 | $360.16 | $0.00 | $672.80 |
| H0038 | Self-help/peer svc per 15min | 137,967 | $11.77 | $0.00 | $221.15 |
| H2036 | A/d tx program, per diem | 136,803 | $208.50 | $0.00 | $423.36 |
| 90837 | Psytx w pt 60 minutes | 133,993 | $88.19 | $0.00 | $352.90 |