Rhode Island Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Rhode Island, based on 2024 claims data.
2024 Overview
Procedures
1.2K
Total Claims
9.3M
Total Paid
$1.1B
Popular Services
Procedures
Showing 1–50 of 1,217 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| S5125 | Attendant care service /15m | 977,191 | $137.23 | $0.00 | $1,158.88 |
| 80307 | Drug test prsmv chem anlyzr | 372,411 | $43.55 | $0.00 | $477.42 |
| 99213 | Office o/p est low 20 min | 344,165 | $62.73 | $0.00 | $365.19 |
| T2017 | Habil res waiver 15 min | 275,846 | $494.12 | $148.99 | $8,601.45 |
| T1019 | Personal care ser per 15 min | 263,717 | $138.21 | $110.03 | $2,346.75 |
| 99214 | Office o/p est mod 30 min | 246,139 | $77.96 | $0.00 | $413.28 |
| G0480 | Drug test def 1-7 classes | 227,501 | $60.85 | $2.21 | $328.43 |
| T1016 | Case management | 199,460 | $31.79 | $0.00 | $510.62 |
| H0020 | Alcohol and/or drug services | 173,703 | $77.27 | $0.00 | $137.97 |
| H0036 | Comm psy face-face per 15min | 159,420 | $10.31 | $0.00 | $235.50 |
| S5102 | Adult day care per diem | 150,069 | $86.99 | $60.95 | $591.00 |
| S5136 | Adult companioncare per diem | 143,495 | $45.47 | $34.24 | $55.80 |
| 92508 | Tx sp lang voice comm group | 133,703 | $15.56 | $0.00 | $40.82 |
| 90837 | Psytx w pt 60 minutes | 131,707 | $94.25 | $0.00 | $138.26 |
| T2025 | Waiver service, nos | 120,452 | $53.35 | $17.64 | $842.90 |
| H0046 | Mental health service, nos | 120,168 | $94.32 | $0.00 | $995.91 |
| S5135 | Adult companioncare per 15m | 117,365 | $106.12 | $85.26 | $108.78 |
| T1015 | Clinic service | 105,281 | $145.46 | $0.00 | $257.55 |
| 97110 | Therapeutic exercises | 101,031 | $32.88 | $0.00 | $266.12 |
| S5170 | Homedelivered prepared meal | 100,936 | $13.23 | $12.52 | $13.53 |
| 90834 | Psytx w pt 45 minutes | 99,174 | $71.61 | $0.00 | $117.23 |
| S5130 | Homaker service nos per 15m | 97,570 | $119.97 | $38.46 | $633.86 |
| H2016 | Comp comm supp svc, per diem | 97,223 | $26.83 | $0.00 | $7,383.20 |
| H0019 | Alcohol and/or drug services | 95,546 | $331.59 | $98.78 | $11,064.52 |
| T1024 | Team evaluation & management | 90,315 | $233.90 | $60.05 | $1,777.33 |
| T2003 | N-et; encounter/trip | 80,291 | $162.17 | $2.75 | $1,158.56 |
| T2033 | Res, nos waiver per diem | 80,122 | $2,058.26 | $11.33 | $17,364.20 |
| D0120 | Periodic oral evaluation | 78,418 | $14.15 | $0.00 | $34.30 |
| 85025 | Complete cbc w/auto diff wbc | 75,470 | $38.29 | $0.00 | $347.55 |
| 97530 | Therapeutic activities | 71,902 | $38.02 | $0.00 | $181.17 |
| D1206 | Topical fluoride varnish | 69,948 | $26.04 | $0.00 | $40.46 |
| G0481 | Drug test def 8-14 classes | 68,950 | $113.59 | $110.23 | $116.69 |
| H0037 | Comm psy sup tx pgm per diem | 65,442 | $365.35 | $0.00 | $572.73 |
| 36415 | Coll venous bld venipuncture | 62,293 | $25.83 | $0.00 | $839.14 |
| D1120 | Dental prophylaxis child | 60,269 | $34.45 | $0.00 | $55.00 |
| 99284 | Emergency dept visit mod mdm | 51,539 | $206.68 | $0.00 | $1,649.50 |
| 80053 | Comprehen metabolic panel | 49,491 | $36.34 | $0.00 | $399.08 |
| D1110 | Dental prophylaxis adult | 49,377 | $23.98 | $0.00 | $67.00 |
| 92507 | Tx sp lang voice comm indiv | 46,670 | $37.22 | $0.00 | $92.42 |
| 83036 | Hemoglobin glycosylated a1c | 46,451 | $22.61 | $2.44 | $309.97 |
| 80061 | Lipid panel | 45,918 | $27.73 | $0.00 | $367.35 |
| 97150 | Group therapeutic procedures | 45,364 | $90.50 | $6.02 | $4,312.00 |
| 99285 | Emergency dept visit hi mdm | 43,179 | $289.05 | $0.00 | $1,881.92 |
| 97140 | Manual therapy 1/> regions | 42,919 | $25.40 | $0.00 | $218.85 |
| 93010 | Electrocardiogram report | 42,823 | $8.87 | $0.45 | $13.77 |
| 97112 | Neuromuscular reeducation | 42,136 | $22.01 | $0.00 | $157.58 |
| T1027 | Family training & counseling | 41,561 | $142.48 | $43.70 | $255.87 |
| A0425 | Ground mileage | 39,676 | $6.79 | $0.00 | $67.06 |
| H0040 | Assert comm tx pgm per diem | 37,929 | $406.60 | $0.00 | $1,557.85 |
| 99211 | Off/op est may x req phy/qhp | 35,760 | $81.84 | $0.00 | $239.00 |