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 51–100 of 1,217 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 87491 | Chlmyd trach dna amp probe | 35,662 | $78.66 | $25.02 | $461.81 |
| 90832 | Psytx w pt 30 minutes | 34,627 | $39.94 | $0.00 | $244.65 |
| H2018 | Psysoc rehab svc, per diem | 33,602 | $98.11 | $34.31 | $233.17 |
| 87591 | N.gonorrhoeae dna amp prob | 33,317 | $63.16 | $25.09 | $421.25 |
| 90460 | Im admin 1st/only component | 33,011 | $22.43 | $6.91 | $106.02 |
| V2020 | Vision svcs frames purchases | 32,346 | $24.15 | $11.49 | $62.68 |
| 87880 | Strep a assay w/optic | 32,184 | $12.26 | $6.87 | $66.92 |
| 71046 | X-ray exam chest 2 views | 31,835 | $24.41 | $0.00 | $552.24 |
| D0220 | Intraoral periapical first | 31,285 | $7.74 | $0.00 | $16.54 |
| D0274 | Bitewings four images | 29,909 | $17.24 | $0.00 | $42.85 |
| D0140 | Limit oral eval problm focus | 28,788 | $21.89 | $0.00 | $50.00 |
| S9342 | Hit enteral pump diem | 28,780 | $19.86 | $19.08 | $20.85 |
| 84443 | Assay thyroid stim hormone | 27,080 | $35.45 | $6.51 | $172.93 |
| T1005 | Respite care service 15 min | 26,860 | $239.40 | $28.61 | $2,746.68 |
| 80048 | Basic metabolic pnl total ca | 26,094 | $53.77 | $0.00 | $463.48 |
| 87428 | Sarscov & inf vir a&b ag ia | 25,973 | $53.03 | $18.61 | $211.36 |
| 90833 | Psytx w pt w e/m 30 min | 25,426 | $43.07 | $0.00 | $78.50 |
| 92340 | Fit spectacles monofocal | 24,835 | $17.84 | $11.89 | $23.91 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 24,761 | $45.98 | $0.00 | $102.93 |
| 99283 | Emergency dept visit low mdm | 24,160 | $230.17 | $6.58 | $933.61 |
| 87086 | Urine culture/colony count | 23,486 | $20.14 | $0.34 | $207.82 |
| H0004 | Alcohol and/or drug services | 23,411 | $50.60 | $0.00 | $226.67 |
| 90471 | Immunization admin | 22,638 | $12.16 | $2.91 | $253.97 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 22,544 | $30.85 | $19.66 | $51.61 |
| 99203 | Office o/p new low 30 min | 22,469 | $91.36 | $0.00 | $159.91 |
| H0006 | Alcohol and/or drug services | 21,961 | $0.00 | $0.00 | $0.00 |
| 87389 | Hiv-1 ag w/hiv-1&-2 ab ag ia | 21,899 | $42.60 | $15.71 | $151.31 |
| T2022 | Case management, per month | 21,671 | $154.06 | $0.00 | $197.88 |
| H2019 | Ther behav svc, per 15 min | 21,565 | $196.94 | $155.00 | $281.51 |
| G2067 | Med assist tx meth wk | 21,564 | $170.81 | $0.00 | $190.82 |
| 99212 | Office o/p est sf 10 min | 21,415 | $61.12 | $0.00 | $362.83 |
| 82306 | Vitamin d 25 hydroxy | 21,115 | $52.95 | $8.32 | $379.15 |
| D1351 | Dental sealant per tooth | 20,882 | $18.22 | $0.00 | $34.02 |
| 87651 | Strep a dna amp probe | 20,416 | $60.37 | $18.79 | $141.24 |
| 85027 | Complete cbc automated | 19,927 | $26.09 | $0.44 | $376.80 |
| H2014 | Skills train and dev, 15 min | 19,482 | $124.23 | $3.99 | $491.33 |
| D0150 | Comprehensve oral evaluation | 18,657 | $18.79 | $0.00 | $51.44 |
| T2021 | Day habil waiver per 15 min | 18,415 | $309.87 | $34.07 | $2,095.62 |
| T1030 | Rn home care per diem | 18,247 | $123.66 | $114.59 | $129.00 |
| T1002 | Rn services up to 15 minutes | 18,165 | $256.85 | $16.53 | $1,414.15 |
| 80050 | General health panel | 18,105 | $55.53 | $15.74 | $277.06 |
| 86803 | Hepatitis c ab test | 18,005 | $37.31 | $7.78 | $177.62 |
| 86780 | Treponema pallidum | 17,715 | $29.39 | $9.78 | $120.81 |
| H0047 | Alcohol/drug abuse svc nos | 17,643 | $248.37 | $211.48 | $405.17 |
| 90791 | Psych diagnostic evaluation | 17,608 | $106.31 | $0.00 | $311.90 |
| 82728 | Assay of ferritin | 17,604 | $39.62 | $2.81 | $393.14 |
| A0429 | Bls-emergency | 17,591 | $149.91 | $0.00 | $204.38 |
| 87804 | Influenza assay w/optic | 17,486 | $12.83 | $8.88 | $36.17 |
| 92014 | Compre oph exam est pt 1/> | 17,129 | $48.11 | $0.00 | $177.44 |
| S9131 | Pt in the home per diem | 16,993 | $95.55 | $83.69 | $124.00 |