Tennessee Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Tennessee, based on 2024 claims data.
2024 Overview
Procedures
2.6K
Total Claims
54.5M
Total Paid
$3.1B
Popular Services
Procedures
Showing 1–50 of 2,630 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99214 | Office o/p est mod 30 min | 2,521,826 | $44.63 | $0.00 | $217.64 |
| 99213 | Office o/p est low 20 min | 2,471,364 | $38.33 | $0.00 | $184.58 |
| T1019 | Personal care ser per 15 min | 1,441,516 | $115.47 | $0.00 | $318.25 |
| T2033 | Res, nos waiver per diem | 1,148,950 | $427.93 | $0.00 | $10,766.79 |
| 3008F | Body mass index docd | 1,109,919 | $0.00 | $0.00 | $9.62 |
| T2021 | Day habil waiver per 15 min | 1,097,449 | $84.83 | $29.67 | $924.59 |
| A0425 | Ground mileage | 849,173 | $14.14 | $0.00 | $509.35 |
| 36415 | Coll venous bld venipuncture | 818,110 | $1.74 | $0.00 | $42.04 |
| 99284 | Emergency dept visit mod mdm | 792,343 | $117.43 | $0.00 | $926.79 |
| S5125 | Attendant care service /15m | 778,795 | $143.73 | $0.00 | $201.36 |
| S0280 | Medical home, initial plan | 749,655 | $145.68 | $25.03 | $189.29 |
| 85025 | Complete cbc w/auto diff wbc | 734,835 | $3.81 | $0.00 | $100.69 |
| 3074F | Syst bp lt 130 mm hg | 695,688 | $0.13 | $0.00 | $13.24 |
| 3078F | Diast bp <80 mm hg | 628,023 | $0.14 | $0.00 | $16.45 |
| 80053 | Comprehen metabolic panel | 585,531 | $3.88 | $0.00 | $159.23 |
| 97530 | Therapeutic activities | 563,846 | $37.46 | $0.00 | $122.25 |
| 92507 | Tx sp lang voice comm indiv | 562,712 | $48.05 | $0.00 | $107.46 |
| 87804 | Influenza assay w/optic | 559,227 | $10.46 | $0.00 | $56.02 |
| A0110 | Nonemergency transport bus | 532,172 | $6.52 | $0.00 | $16.40 |
| D0120 | Periodic oral evaluation | 504,612 | $23.84 | $0.00 | $34.38 |
| 1159F | Med list docd in rcrd | 499,829 | $0.00 | $0.00 | $1.60 |
| A0100 | Nonemergency transport taxi | 478,948 | $2.45 | $0.00 | $16.86 |
| S0109 | Methadone oral 5mg | 463,392 | $0.05 | $0.00 | $4.57 |
| G2078 | Take-home meth | 456,730 | $0.01 | $0.00 | $10.28 |
| 71045 | X-ray exam chest 1 view | 445,980 | $4.15 | $0.00 | $124.84 |
| D1206 | Topical fluoride varnish | 435,781 | $19.84 | $0.00 | $29.48 |
| 90460 | Im admin 1st/only component | 430,644 | $37.63 | $0.00 | $93.33 |
| D1120 | Dental prophylaxis child | 415,254 | $32.90 | $0.00 | $72.48 |
| G9010 | Mccd, risk adj, level 4 | 409,016 | $0.00 | $0.00 | $0.00 |
| 80307 | Drug test prsmv chem anlyzr | 396,792 | $29.31 | $0.00 | $230.13 |
| 87880 | Strep a assay w/optic | 391,252 | $8.93 | $0.00 | $20.00 |
| 99283 | Emergency dept visit low mdm | 389,287 | $149.06 | $0.00 | $527.76 |
| 96127 | Brief emotional/behav assmt | 379,354 | $4.56 | $0.00 | $23.90 |
| T2023 | Targeted case mgmt per month | 377,257 | $518.53 | $0.00 | $1,436.24 |
| G9005 | Mccd, risk adj, maintenance | 370,367 | $0.00 | $0.00 | $0.00 |
| 1160F | Rvw meds by rx/dr in rcrd | 352,103 | $0.00 | $0.00 | $0.00 |
| 90834 | Psytx w pt 45 minutes | 351,042 | $63.07 | $0.00 | $104.59 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 349,673 | $22.79 | $0.00 | $170.66 |
| 96110 | Developmental screen w/score | 340,643 | $22.36 | $0.00 | $83.14 |
| 99285 | Emergency dept visit hi mdm | 321,325 | $118.66 | $0.00 | $1,150.37 |
| H0043 | Supported housing, per diem | 305,531 | $204.09 | $70.79 | $2,777.23 |
| 97110 | Therapeutic exercises | 302,303 | $23.73 | $0.00 | $77.92 |
| 90837 | Psytx w pt 60 minutes | 292,973 | $81.86 | $0.00 | $152.18 |
| 87811 | Sars-cov-2 covid19 w/optic | 285,559 | $28.92 | $0.00 | $47.14 |
| 90832 | Psytx w pt 30 minutes | 272,107 | $36.07 | $0.00 | $75.96 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 261,680 | $25.51 | $0.00 | $88.56 |
| 93010 | Electrocardiogram report | 250,569 | $4.17 | $0.00 | $111.21 |
| 1036F | Tobacco non-user | 245,003 | $0.00 | $0.00 | $0.71 |
| 80061 | Lipid panel | 244,437 | $5.73 | $0.00 | $42.49 |
| 99309 | Sbsq nf care moderate mdm 30 | 241,214 | $13.03 | $0.00 | $380.00 |