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 101–150 of 1,217 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 81025 | Urine pregnancy test | 16,932 | $14.53 | $2.62 | $230.62 |
| D1208 | Topical app fluorid ex vrnsh | 16,927 | $27.30 | $4.69 | $32.47 |
| 81003 | Urinalysis auto w/o scope | 16,672 | $36.10 | $0.00 | $1,133.95 |
| A0427 | Als1-emergency | 16,618 | $175.18 | $95.95 | $228.53 |
| 99600 | Unlisted home visit svc/px | 16,567 | $215.61 | $0.00 | $302.03 |
| T1000 | Private duty/independent nsg | 16,313 | $330.67 | $170.43 | $510.11 |
| D8670 | Periodic orthodontc tx visit | 16,225 | $96.90 | $79.78 | $278.03 |
| 99309 | Sbsq nf care moderate mdm 30 | 15,976 | $13.43 | $0.00 | $47.61 |
| D2392 | Post 2 srfc resinbased cmpst | 15,965 | $53.46 | $0.00 | $110.66 |
| 81001 | Urinalysis auto w/scope | 15,889 | $41.78 | $0.15 | $270.43 |
| T1041 | Comm bh clinic svc per month | 15,594 | $1,044.79 | $0.00 | $1,341.82 |
| 82607 | Vitamin b-12 | 14,978 | $29.81 | $3.00 | $220.23 |
| T1001 | Nursing assessment/evaluatn | 14,514 | $116.39 | $0.00 | $185.33 |
| S0580 | Polycarb lens | 14,293 | $11.20 | $7.06 | $20.89 |
| 84439 | Assay of free thyroxine | 13,801 | $17.65 | $3.08 | $370.43 |
| D2391 | Post 1 srfc resinbased cmpst | 13,538 | $34.44 | $0.00 | $77.73 |
| 77067 | Scr mammo bi incl cad | 13,517 | $71.65 | $0.00 | $216.83 |
| 77063 | Breast tomosynthesis bi | 13,490 | $27.98 | $0.00 | $94.26 |
| D0272 | Dental bitewings two images | 13,473 | $21.47 | $0.00 | $32.00 |
| 71045 | X-ray exam chest 1 view | 13,172 | $19.34 | $0.00 | $711.41 |
| D7140 | Extraction erupted tooth/exr | 13,025 | $47.52 | $0.00 | $85.95 |
| 90461 | Im admin each addl component | 12,851 | $32.76 | $7.95 | $78.81 |
| 99215 | Office o/p est hi 40 min | 12,549 | $122.02 | $0.00 | $323.32 |
| H0038 | Self-help/peer svc per 15min | 12,476 | $30.08 | $0.00 | $199.26 |
| 83540 | Assay of iron | 12,406 | $19.00 | $1.24 | $376.80 |
| 99392 | Prev visit est age 1-4 | 12,311 | $108.26 | $46.19 | $155.15 |
| 99204 | Office o/p new mod 45 min | 12,164 | $137.91 | $0.00 | $241.17 |
| 74177 | Ct abd & pelvis w/contrast | 12,090 | $106.24 | $21.41 | $743.18 |
| 88305 | Tissue exam by pathologist | 12,032 | $91.38 | $3.41 | $531.97 |
| D0330 | Panoramic image | 11,266 | $54.29 | $0.00 | $77.00 |
| 87661 | Trichomonas vaginalis amplif | 11,222 | $30.06 | $18.66 | $106.03 |
| D7210 | Rem imp tooth w mucoper flp | 10,954 | $139.32 | $0.00 | $150.00 |
| D0230 | Intraoral periapical ea add | 10,689 | $7.76 | $0.00 | $20.42 |
| 83735 | Assay of magnesium | 10,635 | $77.90 | $0.00 | $605.22 |
| V2784 | Lens polycarb or equal | 10,453 | $29.71 | $9.19 | $40.00 |
| 83550 | Iron binding test | 10,249 | $27.63 | $1.67 | $381.96 |
| 93005 | Electrocardiogram tracing | 10,175 | $107.69 | $0.00 | $518.70 |
| D0602 | Caries risk assess mod risk | 10,008 | $0.00 | $0.00 | $0.01 |
| 99393 | Prev visit est age 5-11 | 9,918 | $108.22 | $48.03 | $154.63 |
| 99233 | Sbsq hosp ip/obs high 50 | 9,808 | $79.70 | $24.40 | $144.54 |
| A7038 | Pos airway pressure filter | 9,712 | $10.02 | $0.00 | $41.07 |
| 99391 | Per pm reeval est pat infant | 9,637 | $101.70 | $41.04 | $145.34 |
| H2031 | Mh clubhouse svc, per diem | 9,533 | $52.51 | $45.28 | $62.97 |
| T1017 | Targeted case management | 9,519 | $91.75 | $0.00 | $343.97 |
| 83655 | Assay of lead | 9,430 | $9.45 | $4.37 | $62.79 |
| 96127 | Brief emotional/behav assmt | 9,429 | $6.48 | $0.36 | $148.79 |
| 81002 | Urinalysis nonauto w/o scope | 9,340 | $4.49 | $1.27 | $26.35 |
| 82248 | Bilirubin direct | 9,271 | $48.52 | $2.16 | $411.58 |
| 90792 | Psych diag eval w/med srvcs | 9,235 | $184.93 | $0.00 | $377.26 |
| H0043 | Supported housing, per diem | 9,204 | $57.46 | $51.91 | $61.38 |