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 51–100 of 1,744 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 92507 | Tx sp lang voice comm indiv | 132,016 | $70.23 | $0.00 | $220.30 |
| T1002 | Rn services up to 15 minutes | 121,734 | $65.61 | $0.00 | $683.98 |
| 71046 | X-ray exam chest 2 views | 119,448 | $13.30 | $0.00 | $156.64 |
| H2015 | Comp comm supp svc, 15 min | 119,035 | $26.62 | $0.00 | $221.17 |
| 97110 | Therapeutic exercises | 104,062 | $14.54 | $0.00 | $119.44 |
| 93005 | Electrocardiogram tracing | 100,757 | $33.36 | $0.00 | $119.47 |
| 92015 | Determine refractive state | 100,740 | $5.64 | $0.00 | $293.94 |
| 90832 | Psytx w pt 30 minutes | 98,529 | $21.75 | $0.00 | $137.30 |
| H0005 | Alcohol and/or drug services | 98,447 | $11.12 | $0.00 | $59.06 |
| T1015 | Clinic service | 96,936 | $86.56 | $0.00 | $282.84 |
| A0427 | Als1-emergency | 92,467 | $251.69 | $0.00 | $690.38 |
| 90853 | Group psychotherapy | 92,222 | $18.90 | $0.00 | $201.21 |
| A0888 | Noncovered ambulance mileage | 88,037 | $57.72 | $0.00 | $75.00 |
| 87880 | Strep a assay w/optic | 82,023 | $13.39 | $0.00 | $44.20 |
| 81001 | Urinalysis auto w/scope | 79,480 | $2.16 | $0.00 | $21.70 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, | 77,354 | $23.74 | $0.00 | $108.81 |
| 96374 | Ther/proph/diag inj iv push | 76,889 | $117.75 | $0.00 | $278.09 |
| 70450 | Ct head/brain w/o dye | 71,361 | $33.91 | $1.49 | $136.30 |
| H2010 | Comprehensive med svc 15 min | 70,890 | $4.45 | $0.00 | $56.60 |
| 36415 | Coll venous bld venipuncture | 69,537 | $0.76 | $0.00 | $127.54 |
| H0040 | Assert comm tx pgm per diem | 68,895 | $0.00 | $0.00 | $0.00 |
| T2004 | N-et; commerc carrier pass | 68,522 | $27.56 | $27.56 | $27.57 |
| A0429 | Bls-emergency | 67,577 | $215.14 | $0.00 | $445.52 |
| T2002 | N-et; per diem | 65,335 | $48.30 | $37.80 | $64.70 |
| 99203 | Office o/p new low 30 min | 63,358 | $83.12 | $0.00 | $275.62 |
| 98941 | Chiropract manj 3-4 regions | 63,352 | $25.20 | $0.00 | $45.32 |
| V2020 | Vision svcs frames purchases | 62,162 | $29.10 | $0.00 | $89.70 |
| 81003 | Urinalysis auto w/o scope | 60,965 | $2.03 | $0.00 | $14.39 |
| S5125 | Attendant care service /15m | 60,887 | $115.33 | $70.00 | $176.49 |
| S5108 | Homecare train pt 15 min | 60,102 | $105.98 | $57.43 | $176.22 |
| 99233 | Sbsq hosp ip/obs high 50 | 59,816 | $64.37 | $0.00 | $213.68 |
| 99391 | Per pm reeval est pat infant | 59,764 | $98.21 | $12.77 | $188.20 |
| 74177 | Ct abd & pelvis w/contrast | 58,618 | $69.71 | $11.09 | $514.61 |
| A7038 | Pos airway pressure filter | 57,194 | $3.67 | $0.11 | $13.16 |
| 97153 | Adaptive behavior tx by tech | 56,690 | $206.65 | $0.00 | $465.82 |
| H0015 | Alcohol and/or drug services | 55,806 | $161.83 | $0.00 | $236.69 |
| 99212 | Office o/p est sf 10 min | 55,410 | $41.05 | $0.00 | $149.38 |
| 97112 | Neuromuscular reeducation | 55,210 | $10.37 | $0.00 | $129.63 |
| A4657 | Syringe w/wo needle | 54,349 | $0.04 | $0.00 | $2.52 |
| 99392 | Prev visit est age 1-4 | 53,997 | $98.03 | $9.39 | $156.45 |
| 99215 | Office o/p est hi 40 min | 53,697 | $120.46 | $0.00 | $303.11 |
| H0002 | Alcohol and/or drug screenin | 52,207 | $2.64 | $0.00 | $101.37 |
| 97155 | Adapt behavior tx phys/qhp | 51,500 | $153.64 | $0.40 | $342.42 |
| 88305 | Tissue exam by pathologist | 48,312 | $55.35 | $4.50 | $394.05 |
| H2023 | Supported employ, per 15 min | 48,207 | $227.30 | $19.45 | $390.17 |
| 92014 | Compre oph exam est pt 1/> | 47,869 | $66.35 | $0.00 | $197.20 |
| 99204 | Office o/p new mod 45 min | 47,524 | $127.34 | $0.00 | $485.42 |
| 84484 | Assay of troponin quant | 47,135 | $8.64 | $0.00 | $28.72 |
| E0601 | Continuous positive airway pressure (cpap) device | 46,930 | $24.54 | $1.18 | $93.76 |
| T2001 | N-et; patient attend/escort | 46,868 | $178.32 | $0.00 | $1,624.58 |