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 101–150 of 2,630 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| G0480 | Drug test def 1-7 classes | 115,620 | $31.10 | $0.00 | $79.74 |
| 36416 | Collj capillary blood spec | 114,987 | $1.27 | $0.00 | $5.26 |
| 99203 | Office o/p new low 30 min | 114,610 | $58.44 | $0.00 | $150.96 |
| 87086 | Urine culture/colony count | 113,638 | $3.71 | $0.00 | $56.76 |
| A0428 | Bls | 113,600 | $22.98 | $0.00 | $119.66 |
| 81025 | Urine pregnancy test | 112,830 | $3.62 | $0.00 | $33.36 |
| A4657 | Syringe w/wo needle | 111,519 | $5.45 | $0.00 | $55.99 |
| D0274 | Bitewings four images | 110,136 | $24.33 | $0.00 | $60.94 |
| 90461 | Im admin each addl component | 108,524 | $0.58 | $0.00 | $22.96 |
| 87591 | N.gonorrhoeae dna amp prob | 107,874 | $17.76 | $0.00 | $57.29 |
| 99211 | Off/op est may x req phy/qhp | 107,774 | $12.32 | $0.00 | $162.19 |
| 3725F | Screen depression performed | 107,156 | $0.00 | $0.00 | $0.00 |
| 99177 | Ocular instrumnt screen bil | 104,582 | $5.69 | $0.00 | $12.87 |
| 88305 | Tissue exam by pathologist | 104,196 | $42.11 | $0.00 | $223.82 |
| 70450 | Ct head/brain w/o dye | 104,041 | $21.42 | $0.00 | $510.12 |
| 97153 | Adaptive behavior tx by tech | 103,991 | $180.76 | $30.18 | $458.26 |
| 87635 | Sars-cov-2 covid-19 amp prb | 103,545 | $41.32 | $0.00 | $154.98 |
| 87491 | Chlmyd trach dna amp probe | 102,504 | $19.17 | $0.00 | $58.89 |
| 99212 | Office o/p est sf 10 min | 102,350 | $22.88 | $0.00 | $127.81 |
| 1125F | Amnt pain noted pain prsnt | 102,321 | $0.00 | $0.00 | $0.00 |
| 97140 | Manual therapy 1/> regions | 100,185 | $11.76 | $0.00 | $42.46 |
| D7140 | Extraction erupted tooth/exr | 99,653 | $60.02 | $0.00 | $190.00 |
| 90677 | Pcv20 vaccine im | 99,634 | $9.64 | $0.00 | $239.15 |
| V2784 | Lens polycarb or equal | 99,019 | $18.96 | $0.00 | $75.10 |
| 93005 | Electrocardiogram tracing | 97,934 | $6.34 | $0.00 | $131.07 |
| G0483 | Drug test def 22+ classes | 96,920 | $79.37 | $0.00 | $215.23 |
| 80305 | Drug test prsmv dir opt obs | 94,677 | $4.46 | $0.00 | $13.50 |
| T2012 | Habil ed waiver, per diem | 93,725 | $220.69 | $102.84 | $292.25 |
| 80048 | Basic metabolic pnl total ca | 93,683 | $2.73 | $0.00 | $90.26 |
| 87426 | Sarscov coronavirus ag ia | 92,627 | $24.54 | $0.00 | $51.80 |
| 99215 | Office o/p est hi 40 min | 90,453 | $65.00 | $0.00 | $233.95 |
| 74177 | Ct abd & pelvis w/contrast | 89,981 | $47.52 | $0.00 | $1,600.68 |
| 96374 | Ther/proph/diag inj iv push | 89,746 | $17.34 | $0.00 | $169.92 |
| 80050 | General health panel | 87,934 | $17.50 | $0.00 | $35.80 |
| D1354 | Int caries med app per tooth | 87,116 | $7.90 | $0.00 | $10.01 |
| 76816 | Ob us follow-up per fetus | 87,060 | $58.52 | $0.82 | $112.28 |
| D2930 | Prefab stnlss steel crwn pri | 85,381 | $107.34 | $0.00 | $200.27 |
| H0016 | Alcohol and/or drug services | 84,746 | $203.70 | $0.00 | $301.95 |
| H0036 | Comm psy face-face per 15min | 83,917 | $346.98 | $50.65 | $4,437.00 |
| 76819 | Fetal biophys profil w/o nst | 82,341 | $59.00 | $10.46 | $111.84 |
| S5150 | Unskilled respite care /15m | 80,575 | $82.04 | $17.17 | $218.39 |
| 85018 | Hemoglobin | 79,934 | $1.74 | $0.00 | $59.60 |
| H2017 | Psysoc rehab svc, per 15 min | 77,558 | $82.32 | $3.76 | $357.72 |
| A0429 | Bls-emergency | 76,984 | $116.02 | $0.00 | $488.30 |
| D2391 | Post 1 srfc resinbased cmpst | 76,793 | $59.05 | $8.88 | $149.05 |
| 84439 | Assay of free thyroxine | 76,789 | $3.81 | $0.00 | $24.45 |
| 83735 | Assay of magnesium | 76,022 | $2.31 | $0.00 | $17.43 |
| G9006 | Mccd, home monitoring | 75,468 | $0.00 | $0.00 | $0.00 |
| 96161 | Caregiver health risk assmt | 75,407 | $11.24 | $0.00 | $32.60 |
| 3075F | Syst bp ge 130 - 139mm hg | 75,319 | $0.22 | $0.00 | $11.09 |