Santa Ana Medicaid providers submitted $29,131,094 in claims during 2024 for services categorized under Temporary National Codes (Non-Medicare), according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marks a 12% rise over 2023, when claims for this category totaled $26,003,604.
Medicaid, a public health insurance program managed by states and funded in partnership by federal and state governments, serves low-income families and individuals, seniors, children, and those with disabilities. It is a major component of the U.S. health care system.
Because taxpayer dollars finance Medicaid payments, fluctuations in local billing levels reflect how a community allocates public health care resources.
The “Temporary National Codes (Non-Medicare)” category includes a range of Medicaid services defined through HCPCS and CPT standardized code groupings. Each billing code for this analysis was assigned using uniform code prefixes and ranges to one service category, allowing for the aggregation of related services, the prevention of double counting, and the tracking of accurate category rankings over time.
Although other service categories saw increases in Medicaid spending, Temporary National Codes (Non-Medicare) was the fifth-largest by total payments in Santa Ana for 2024.
Statewide in California, the Temporary National Codes (Non-Medicare) service category was ranked seventh for total Medicaid payments in 2024.
Looking at the five-year period leading up to 2024, Santa Ana’s Medicaid payments connected to the Temporary National Codes (Non-Medicare) category climbed by $15,499,720, or 113.7%. The pace of growth was higher in select years, with notable jumps in 2020 and 2023.
Medicaid spending was distributed throughout Santa Ana, but the highest payments related to Temporary National Codes (Non-Medicare) were concentrated in a few ZIP codes. In 2024, ZIP code 92701 accounted for $25,618,066, ZIP code 92705 saw $2,601,918, and ZIP code 92706 had $909,717. Collectively, these top 3 ZIP codes represented the entirety of Medicaid payments for this category in the city for the year.
Within the Temporary National Codes (Non-Medicare) group, a small set of billing codes accounted for most Medicaid payments.
Between 2024 and 2023, Medicaid payments in Santa Ana for Temporary National Codes (Non-Medicare) rose 12%, compared to an 11.9% increase across all Medicaid claim categories citywide during the same time frame.
According to the Centers for Medicare & Medicaid Services, joint state and federal Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, making up around 18% of total health care national spending—an increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
This jump corresponds to about 40% growth in a short period, largely the result of increased enrollment and greater service utilization during and after the pandemic.
Recent federal budget actions under the Trump administration have introduced notable proposals aiming to decrease federal Medicaid support and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” approved in 2025, is expected to cut more than $1 trillion from federal Medicaid expenditures over the next decade, while imposing work requirements and expanding cost-sharing—changes that may lower both funding and coverage for certain groups. These adjustments are likely to shift further expenses to state governments and reduce the expansion of federal Medicaid resources, even as the program remains vital for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $13,631,374 | 59.9% |
| 2021 | $16,133,178 | 18.4% |
| 2022 | $17,325,315 | 7.4% |
| 2023 | $26,003,603 | 50.1% |
| 2024 | $29,131,093 | 12% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $64,966,537 | 27.9% |
| 2 | Medicine Services and Procedures | $40,889,611 | 17.6% |
| 3 | National Codes Established for State Medicaid Agencies | $39,865,980 | 17.1% |
| 4 | Evaluation and Management | $30,313,856 | 13% |
| 5 | Temporary National Codes (Non-Medicare) | $29,131,093 | 12.5% |
| 6 | Dental Services | $10,336,295 | 4.4% |
| 7 | Surgery | $4,669,025 | 2% |
| 8 | Procedures / Professional Services | $3,474,781 | 1.5% |
| 9 | Ambulance and Other Transport Services and Supplies | $3,034,650 | 1.3% |
| 10 | Pathology and Laboratory Procedures | $2,396,835 | 1% |
| 11 | Anesthesia | $1,220,877 | 0.5% |
| 12 | Drugs Administered Other than Oral Method | $1,078,902 | 0.5% |
| 13 | Radiology Procedures | $949,812 | 0.4% |
| 14 | Temporary Codes | $100,280 | <0.1% |
| 15 | Chemotherapy Drugs | $39,802 | <0.1% |
| 16 | Vision Services | $28,339 | <0.1% |
| 17 | Medical And Surgical Supplies | $26,568 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $5,899 | <0.1% |
| 19 | Diagnostic Radiology Services | $4,760 | <0.1% |
| 20 | Orthotic Procedures and services | $3,489 | <0.1% |
| 21 | Hearing Services | $542 | <0.1% |
| 22 | Coronavirus Diagnostic Panel | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S9484 | Crisis intervention per hour | $24,468,093 | 34 |
| S5102 | Adult day care per diem | $3,225,261 | 40 |
| S5108 | Homecare train pt 15 min | $525,644 | 23 |
| S5110 | Family homecare training 15m | $319,384 | 36 |
| S5165 | Home modifications per serv | $208,316 | 6 |
| S5151 | Unskilled respitecare /diem | $179,702 | 8 |
| S5111 | Family homecare train/sessio | $63,352 | 30 |
| S0199 | Med abortion inc all ex drug | $62,279 | 10 |
| S4993 | Contraceptive pills for bc | $44,979 | 14 |
| S9445 | Pt education noc individ | $17,156 | 52 |
| S5001 | Prescription drug,brand name | $10,133 | 3 |
| S0190 | Mifepristone, oral, 200 mg | $2,935 | 4 |
| S9452 | Nutrition class | $1,631 | 11 |
| S9123 | Nursing care in home rn | $1,391 | 7 |
| S9470 | Nutritional counseling, diet | $528 | 1 |
| S0191 | Misoprostol, oral, 200 mcg | $163 | 5 |
| S5000 | Prescription drug, generic | $139 | 1 |
| S9131 | Pt in the home per diem | $0 | 1 |
Note: HCPCS codes are shown for context within the category. Category totals and rankings in this article are based on standardized service groupings rather than individual billing codes.
Information in this article was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.
