Utah Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Utah, based on 2024 claims data.
2024 Overview
Procedures
1.6K
Total Claims
10.4M
Total Paid
$707.7M
Popular Services
Procedures
Showing 1–50 of 1,571 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| A0100 | Nonemergency transport taxi | 1,232,621 | $4.15 | $0.00 | $460.69 |
| A0080 | Noninterest escort in non er | 824,820 | $17.77 | $17.21 | $19.02 |
| A0425 | Ground mileage | 492,269 | $19.79 | $4.25 | $512.69 |
| 99214 | Office o/p est mod 30 min | 374,290 | $83.65 | $0.00 | $719.00 |
| 99213 | Office o/p est low 20 min | 304,043 | $83.25 | $0.00 | $719.00 |
| H0020 | Alcohol and/or drug services | 286,423 | $16.95 | $0.00 | $253.17 |
| 90837 | Psytx w pt 60 minutes | 281,588 | $147.45 | $0.00 | $719.00 |
| 97153 | Adaptive behavior tx by tech | 191,667 | $344.70 | $103.36 | $419.12 |
| T1021 | Hh aide or cn aide per visit | 135,138 | $63.08 | $26.56 | $372.97 |
| 90853 | Group psychotherapy | 134,453 | $89.63 | $4.60 | $719.00 |
| A0130 | Noner transport wheelch van | 128,776 | $18.67 | $18.38 | $19.10 |
| S0209 | Wc van mileage per mi | 128,775 | $19.83 | $19.13 | $21.17 |
| T1019 | Personal care ser per 15 min | 108,592 | $136.97 | $0.00 | $482.16 |
| 80307 | Drug test prsmv chem anlyzr | 108,271 | $48.33 | $0.00 | $708.35 |
| 97110 | Therapeutic exercises | 100,920 | $40.70 | $0.00 | $689.35 |
| D1206 | Topical fluoride varnish | 100,290 | $20.56 | $0.00 | $122.38 |
| D0120 | Periodic oral evaluation | 99,403 | $32.50 | $0.00 | $719.00 |
| 99284 | Emergency dept visit mod mdm | 98,947 | $98.84 | $0.00 | $561.35 |
| H2019 | Ther behav svc, per 15 min | 96,686 | $81.37 | $0.57 | $1,399.39 |
| G0463 | Hospital outpt clinic visit | 95,462 | $52.75 | $3.61 | $105.39 |
| T1017 | Targeted case management | 93,311 | $69.51 | $0.00 | $156.42 |
| D1120 | Dental prophylaxis child | 91,787 | $44.56 | $0.00 | $599.17 |
| H0018 | Alcohol and/or drug services | 90,195 | $483.58 | $130.79 | $1,816.63 |
| H2016 | Comp comm supp svc, per diem | 87,066 | $66.07 | $26.00 | $283.42 |
| D0220 | Intraoral periapical first | 82,489 | $29.62 | $0.00 | $659.37 |
| D0230 | Intraoral periapical ea add | 81,043 | $11.88 | $0.00 | $60.76 |
| G2211 | Complex e/m visit add on | 79,097 | $0.98 | $0.00 | $12.64 |
| T1016 | Case management | 78,112 | $69.20 | $46.09 | $359.16 |
| 92507 | Tx sp lang voice comm indiv | 75,028 | $7.72 | $0.00 | $60.82 |
| H2017 | Psysoc rehab svc, per 15 min | 74,884 | $78.32 | $0.42 | $859.32 |
| 97155 | Adapt behavior tx phys/qhp | 71,394 | $205.56 | $2.40 | $356.87 |
| 90471 | Immunization admin | 71,192 | $7.86 | $0.00 | $221.23 |
| 36415 | Coll venous bld venipuncture | 66,823 | $8.60 | $0.00 | $671.07 |
| 92508 | Tx sp lang voice comm group | 66,616 | $0.01 | $0.00 | $3.16 |
| 99285 | Emergency dept visit hi mdm | 65,615 | $116.30 | $0.00 | $809.73 |
| 97530 | Therapeutic activities | 55,551 | $44.73 | $0.00 | $593.96 |
| 99309 | Sbsq nf care moderate mdm 30 | 54,913 | $32.20 | $7.61 | $127.35 |
| H2014 | Skills train and dev, 15 min | 52,985 | $167.78 | $3.33 | $443.65 |
| D0272 | Dental bitewings two images | 52,473 | $27.31 | $0.00 | $497.77 |
| 99215 | Office o/p est hi 40 min | 48,862 | $75.11 | $0.34 | $719.00 |
| H0046 | Mental health service, nos | 48,013 | $126.70 | $0.00 | $281.72 |
| 90834 | Psytx w pt 45 minutes | 47,842 | $133.23 | $0.00 | $719.00 |
| 96158 | Hlth bhv ivntj indiv 1st 30 | 44,954 | $0.61 | $0.00 | $66.33 |
| 93010 | Electrocardiogram report | 43,354 | $5.29 | $1.95 | $8.76 |
| 85025 | Complete cbc w/auto diff wbc | 43,267 | $9.98 | $0.00 | $531.43 |
| 97140 | Manual therapy 1/> regions | 43,041 | $33.86 | $0.00 | $407.68 |
| 90472 | Immunization admin each add | 42,753 | $8.44 | $0.00 | $156.51 |
| 80053 | Comprehen metabolic panel | 42,048 | $4.35 | $0.00 | $88.61 |
| D1351 | Dental sealant per tooth | 41,976 | $33.99 | $0.00 | $202.22 |
| 71045 | X-ray exam chest 1 view | 41,864 | $6.04 | $0.00 | $47.54 |