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 51–100 of 2,630 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| H0037 | Comm psy sup tx pgm per diem | 240,612 | $148.97 | $66.65 | $7,909.46 |
| 83036 | Hemoglobin glycosylated a1c | 221,955 | $3.20 | $0.00 | $51.47 |
| G9004 | Mccd, risk adj lo, initial | 219,191 | $0.00 | $0.00 | $0.00 |
| 81003 | Urinalysis auto w/o scope | 214,986 | $1.31 | $0.00 | $42.43 |
| D1351 | Dental sealant per tooth | 206,946 | $16.36 | $0.00 | $43.23 |
| D1110 | Dental prophylaxis adult | 197,021 | $41.45 | $0.00 | $105.00 |
| 96160 | Pt-focused hlth risk assmt | 194,034 | $9.87 | $0.00 | $60.13 |
| G0463 | Hospital outpt clinic visit | 193,050 | $51.81 | $0.00 | $203.94 |
| 99392 | Prev visit est age 1-4 | 189,424 | $72.16 | $0.00 | $131.92 |
| D0220 | Intraoral periapical first | 187,229 | $11.41 | $0.00 | $31.09 |
| 99391 | Per pm reeval est pat infant | 187,206 | $64.28 | $0.00 | $121.06 |
| 96372 | Ther/proph/diag inj sc/im | 184,388 | $10.02 | $0.00 | $143.89 |
| 3079F | Diast bp 80-89 mm hg | 180,606 | $0.18 | $0.00 | $10.00 |
| D1208 | Topical app fluorid ex vrnsh | 178,411 | $20.64 | $0.00 | $45.00 |
| 0502F | Subsequent prenatal care | 177,202 | $0.03 | $0.00 | $3.33 |
| D0230 | Intraoral periapical ea add | 175,450 | $8.22 | $0.00 | $20.00 |
| 99204 | Office o/p new mod 45 min | 169,795 | $83.38 | $0.00 | $255.00 |
| 92015 | Determine refractive state | 164,659 | $24.16 | $0.00 | $50.23 |
| G0482 | Drug test def 15-21 classes | 164,164 | $54.40 | $0.00 | $120.28 |
| D0272 | Dental bitewings two images | 161,983 | $16.26 | $0.00 | $31.56 |
| 71046 | X-ray exam chest 2 views | 161,970 | $7.99 | $0.00 | $123.63 |
| A0427 | Als1-emergency | 159,729 | $125.44 | $2.19 | $421.56 |
| S5170 | Homedelivered prepared meal | 153,251 | $5.80 | $2.97 | $6.95 |
| 87651 | Strep a dna amp probe | 153,226 | $27.78 | $0.00 | $130.26 |
| 99308 | Sbsq nf care low mdm 20 | 152,797 | $12.08 | $0.00 | $82.60 |
| 84443 | Assay thyroid stim hormone | 149,686 | $5.93 | $0.00 | $42.55 |
| 81001 | Urinalysis auto w/scope | 148,311 | $1.35 | $0.00 | $99.11 |
| G2211 | Complex e/m visit add on | 147,515 | $12.23 | $0.00 | $4,426.67 |
| 99233 | Sbsq hosp ip/obs high 50 | 147,418 | $31.50 | $0.00 | $384.79 |
| T2016 | Habil res waiver per diem | 146,106 | $729.26 | $137.20 | $17,358.80 |
| V2020 | Vision svcs frames purchases | 144,571 | $10.58 | $0.00 | $65.76 |
| 95117 | Immunotherapy injections | 144,482 | $9.89 | $1.76 | $31.18 |
| D0150 | Comprehensve oral evaluation | 144,115 | $28.12 | $0.00 | $105.00 |
| 90999 | Unlisted dialysis procedure | 143,958 | $47.10 | $0.00 | $187.45 |
| 99173 | Visual acuity screen | 142,147 | $4.50 | $0.00 | $16.80 |
| 99393 | Prev visit est age 5-11 | 141,975 | $71.59 | $0.00 | $131.50 |
| 97112 | Neuromuscular reeducation | 139,838 | $15.40 | $0.00 | $61.09 |
| 92551 | Pure tone hearing test air | 138,936 | $7.61 | $0.00 | $69.66 |
| G0481 | Drug test def 8-14 classes | 138,894 | $78.94 | $0.00 | $120.56 |
| 92014 | Compre oph exam est pt 1/> | 132,725 | $47.54 | $0.00 | $113.78 |
| 85027 | Complete cbc automated | 127,562 | $1.86 | $0.00 | $62.68 |
| A7038 | Pos airway pressure filter | 124,477 | $2.08 | $0.65 | $5.04 |
| 82306 | Vitamin d 25 hydroxy | 122,826 | $11.27 | $0.00 | $90.79 |
| 1126F | Amnt pain noted none prsnt | 121,591 | $0.00 | $0.00 | $0.00 |
| H0020 | Alcohol and/or drug services | 121,320 | $95.49 | $0.00 | $125.00 |
| 92340 | Fit spectacles monofocal | 121,217 | $22.74 | $0.00 | $70.00 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, | 118,053 | $6.29 | $0.17 | $19.90 |
| D2392 | Post 2 srfc resinbased cmpst | 117,760 | $71.72 | $0.00 | $252.12 |
| D0330 | Panoramic image | 117,681 | $35.75 | $0.00 | $88.00 |
| D9230 | Analgesia | 116,858 | $27.78 | $0.00 | $57.33 |