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 101–150 of 2,378 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| D0140 | Limit oral eval problm focus | 77,287 | $20.59 | $0.00 | $220.70 |
| 82728 | Assay of ferritin | 75,672 | $11.95 | $0.00 | $53.18 |
| D2392 | Post 2 srfc resinbased cmpst | 74,439 | $67.35 | $0.00 | $637.12 |
| 96365 | Ther/proph/diag iv inf init | 72,674 | $111.66 | $2.28 | $3,234.58 |
| 87661 | Trichomonas vaginalis amplif | 71,629 | $28.13 | $0.00 | $62.73 |
| D8670 | Periodic orthodontc tx visit | 69,933 | $153.09 | $0.00 | $359.89 |
| S9484 | Crisis intervention per hour | 69,290 | $111.05 | $41.90 | $374.74 |
| 92014 | Compre oph exam est pt 1/> | 68,789 | $34.81 | $0.00 | $168.47 |
| 83540 | Assay of iron | 68,297 | $4.20 | $0.00 | $41.21 |
| G2211 | Complex e/m visit add on | 68,184 | $1.18 | $0.00 | $12.23 |
| A0380 | Basic life support mileage | 67,101 | $29.09 | $0.00 | $331.15 |
| 86140 | C-reactive protein | 66,580 | $4.07 | $0.00 | $33.38 |
| A0429 | Bls-emergency | 66,188 | $182.05 | $0.00 | $371.51 |
| 3078F | Diast bp <80 mm hg | 65,523 | $0.00 | $0.00 | $0.00 |
| J7120 | Ringers lactate infusion | 65,234 | $0.16 | $0.00 | $3.19 |
| T2025 | Waiver service, nos | 64,292 | $71.20 | $17.91 | $100.07 |
| D7140 | Extraction erupted tooth/exr | 63,404 | $54.45 | $0.00 | $673.05 |
| A9270 | Non-covered item or service | 62,503 | $0.00 | $0.00 | $2.67 |
| J3010 | Fentanyl citrate injection | 62,112 | $0.04 | $0.00 | $3.94 |
| A7038 | Pos airway pressure filter | 61,728 | $3.95 | $1.01 | $8.06 |
| D0210 | Intraor comprehensive series | 60,533 | $45.45 | $0.00 | $155.52 |
| 98940 | Chiropract manj 1-2 regions | 60,281 | $14.69 | $0.00 | $33.74 |
| T2021 | Day habil waiver per 15 min | 58,424 | $255.74 | $55.04 | $1,660.70 |
| D0272 | Dental bitewings two images | 57,871 | $19.83 | $0.00 | $41.50 |
| D1208 | Topical app fluorid ex vrnsh | 57,169 | $19.58 | $0.00 | $44.22 |
| 83550 | Iron binding test | 56,898 | $5.33 | $0.00 | $14.14 |
| E0601 | Continuous positive airway pressure (cpap) device | 56,425 | $24.93 | $1.20 | $162.22 |
| 85018 | Hemoglobin | 56,382 | $1.01 | $0.00 | $37.41 |
| A0427 | Als1-emergency | 56,318 | $179.19 | $0.00 | $441.17 |
| 87389 | Hiv-1 ag w/hiv-1&-2 ab ag ia | 55,559 | $24.20 | $0.00 | $60.68 |
| 86803 | Hepatitis c ab test | 55,239 | $12.34 | $0.00 | $46.56 |
| 82570 | Assay of urine creatinine | 53,598 | $4.40 | $0.00 | $21.12 |
| 83605 | Assay of lactic acid | 52,505 | $6.97 | $0.00 | $39.40 |
| S5136 | Adult companioncare per diem | 52,086 | $103.61 | $42.14 | $7,511.35 |
| J2250 | Inj midazolam hydrochloride | 51,148 | $0.03 | $0.00 | $2.14 |
| D0330 | Panoramic image | 50,918 | $46.61 | $0.00 | $113.26 |
| 84439 | Assay of free thyroxine | 50,406 | $8.79 | $0.00 | $39.74 |
| A0390 | Advanced life support mileag | 48,799 | $41.99 | $0.00 | $676.83 |
| T2040 | Financial mgt waiver/15min | 48,760 | $71.72 | $48.12 | $75.91 |
| J7050 | Normal saline solution infus | 48,480 | $0.04 | $0.00 | $2.94 |
| 99233 | Sbsq hosp ip/obs high 50 | 48,426 | $27.08 | $0.00 | $80.36 |
| D2391 | Post 1 srfc resinbased cmpst | 47,708 | $52.10 | $0.00 | $645.09 |
| S4993 | Contraceptive pills for bc | 47,523 | $73.91 | $1.55 | $112.36 |
| 97150 | Group therapeutic procedures | 47,056 | $4.45 | $0.17 | $14.97 |
| 82607 | Vitamin b-12 | 46,350 | $11.75 | $0.00 | $51.72 |
| 87186 | Sc std microdil/agar dil | 46,250 | $7.03 | $0.00 | $64.80 |
| E0562 | Humidifier, heated, used with positive airway pressure device | 44,964 | $19.18 | $0.51 | $131.45 |
| S5108 | Homecare train pt 15 min | 44,665 | $92.80 | $55.19 | $269.92 |
| 82043 | Ur albumin quantitative | 44,520 | $4.85 | $0.00 | $55.56 |
| 87077 | Culture aerobic identify | 43,438 | $8.25 | $0.00 | $34.50 |