Wisconsin Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Wisconsin, based on 2024 claims data.
2024 Overview
Procedures
2.4K
Total Claims
36.4M
Total Paid
$1.8B
Popular Services
Procedures
Showing 51–100 of 2,378 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| H0003 | Alcohol and/or drug screenin | 137,527 | $63.56 | $0.00 | $92.11 |
| J2405 | Ondansetron hcl injection | 136,579 | $0.06 | $0.00 | $2.98 |
| S5150 | Unskilled respite care /15m | 136,366 | $90.32 | $0.34 | $846.75 |
| 99000 | Specimen handling office-lab | 135,634 | $3.48 | $0.00 | $23.46 |
| 71046 | X-ray exam chest 2 views | 134,199 | $9.01 | $0.00 | $126.16 |
| D0220 | Intraoral periapical first | 132,143 | $9.19 | $0.00 | $29.00 |
| 99211 | Off/op est may x req phy/qhp | 130,318 | $63.78 | $0.00 | $304.94 |
| D1110 | Dental prophylaxis adult | 127,350 | $31.06 | $0.00 | $103.10 |
| S0215 | Nonemerg transp mileage | 127,122 | $48.53 | $0.00 | $765.04 |
| 99212 | Office o/p est sf 10 min | 125,176 | $69.83 | $0.00 | $320.25 |
| 96375 | Tx/pro/dx inj new drug addon | 122,152 | $0.63 | $0.00 | $37.77 |
| J1885 | Ketorolac tromethamine inj | 120,140 | $0.06 | $0.00 | $4.03 |
| 96361 | Hydrate iv infusion add-on | 118,516 | $181.71 | $14.19 | $970.79 |
| 87491 | Chlmyd trach dna amp probe | 113,669 | $32.13 | $0.00 | $78.61 |
| 88305 | Tissue exam by pathologist | 113,546 | $23.94 | $0.00 | $173.45 |
| 83690 | Assay of lipase | 113,453 | $4.74 | $0.00 | $19.38 |
| 87591 | N.gonorrhoeae dna amp prob | 113,412 | $29.89 | $0.00 | $72.25 |
| J1644 | Inj heparin sodium per 1000u | 111,967 | $0.00 | $0.00 | $0.70 |
| 80307 | Drug test prsmv chem anlyzr | 109,624 | $45.33 | $0.00 | $133.86 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 106,674 | $0.11 | $0.00 | $8.97 |
| 81025 | Urine pregnancy test | 105,884 | $8.35 | $0.00 | $78.70 |
| D0150 | Comprehensve oral evaluation | 105,211 | $25.85 | $0.00 | $265.53 |
| 82962 | Glucose blood test | 104,442 | $4.29 | $0.00 | $43.53 |
| J2704 | Inj, propofol, 10 mg | 103,926 | $0.02 | $0.00 | $6.07 |
| T2046 | Hospice long term care, r&b | 103,705 | $316.84 | $0.00 | $7,738.36 |
| 92015 | Determine refractive state | 100,783 | $6.89 | $0.00 | $20.34 |
| 96372 | Ther/proph/diag inj sc/im | 99,461 | $5.98 | $0.00 | $65.89 |
| 97112 | Neuromuscular reeducation | 99,213 | $31.95 | $0.00 | $111.97 |
| 97140 | Manual therapy 1/> regions | 97,687 | $18.58 | $0.00 | $54.58 |
| 99282 | Emergency dept visit sf mdm | 97,665 | $113.48 | $16.19 | $564.08 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 95,103 | $16.73 | $0.00 | $58.09 |
| 82306 | Vitamin d 25 hydroxy | 91,694 | $22.61 | $0.00 | $98.87 |
| D0191 | Assessment of a patient | 91,631 | $12.11 | $0.00 | $21.66 |
| D0230 | Intraoral periapical ea add | 90,382 | $7.89 | $0.00 | $49.80 |
| J7030 | Normal saline solution infus | 90,311 | $0.14 | $0.00 | $4.55 |
| H0022 | Alcohol and/or drug interven | 90,097 | $33.42 | $0.00 | $343.13 |
| 85610 | Prothrombin time | 89,340 | $4.62 | $0.00 | $39.41 |
| T1003 | Lpn/lvn services up to 15min | 88,801 | $9.98 | $3.82 | $31.33 |
| 74177 | Ct abd & pelvis w/contrast | 88,777 | $92.85 | $0.00 | $735.01 |
| 81003 | Urinalysis auto w/o scope | 88,227 | $3.27 | $0.00 | $53.27 |
| 99215 | Office o/p est hi 40 min | 87,959 | $70.70 | $0.00 | $275.29 |
| D0274 | Bitewings four images | 87,592 | $19.57 | $0.00 | $61.38 |
| 3008F | Body mass index docd | 85,916 | $6.04 | $0.00 | $10.48 |
| G0463 | Hospital outpt clinic visit | 85,199 | $18.20 | $0.00 | $137.07 |
| 70450 | Ct head/brain w/o dye | 84,869 | $80.25 | $0.00 | $623.63 |
| 97155 | Adapt behavior tx phys/qhp | 84,689 | $136.19 | $0.00 | $315.12 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 81,926 | $30.30 | $3.25 | $115.40 |
| 87651 | Strep a dna amp probe | 79,382 | $32.33 | $0.00 | $114.72 |
| J1100 | Dexamethasone sodium phos | 78,902 | $0.06 | $0.00 | $2.03 |
| 3074F | Syst bp lt 130 mm hg | 77,981 | $0.00 | $0.00 | $0.00 |