South Carolina Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in South Carolina, based on 2024 claims data.
2024 Overview
Procedures
1.9K
Total Claims
27.2M
Total Paid
$1.7B
Popular Services
Procedures
Showing 51–100 of 1,897 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 99392 | Prev visit est age 1-4 | 107,430 | $108.37 | $0.00 | $376.75 |
| A4554 | Disposable underpads | 106,665 | $34.94 | $6.36 | $124.83 |
| 96374 | Ther/proph/diag inj iv push | 105,049 | $65.39 | $0.00 | $22,390.43 |
| S5145 | Child fostercare th per diem | 103,930 | $70.31 | $41.15 | $2,636.76 |
| 99309 | Sbsq nf care moderate mdm 30 | 103,050 | $16.41 | $0.00 | $101.67 |
| 93010 | Electrocardiogram report | 101,086 | $4.17 | $0.00 | $9.12 |
| D2392 | Post 2 srfc resinbased cmpst | 97,228 | $107.15 | $0.00 | $403.19 |
| H2016 | Comp comm supp svc, per diem | 97,094 | $65.13 | $38.34 | $87.98 |
| 85027 | Complete cbc automated | 96,381 | $3.23 | $0.00 | $167.40 |
| J2405 | Ondansetron hcl injection | 95,428 | $0.52 | $0.00 | $31.12 |
| 87086 | Urine culture/colony count | 93,777 | $16.56 | $0.00 | $205.89 |
| 96127 | Brief emotional/behav assmt | 92,801 | $4.80 | $0.00 | $52.68 |
| 83735 | Assay of magnesium | 92,717 | $1.92 | $0.00 | $220.97 |
| D0150 | Comprehensve oral evaluation | 90,558 | $44.32 | $0.00 | $903.19 |
| 71046 | X-ray exam chest 2 views | 90,126 | $16.19 | $0.00 | $207.04 |
| 92015 | Determine refractive state | 88,473 | $10.68 | $0.00 | $28.01 |
| 84484 | Assay of troponin quant | 88,161 | $4.17 | $0.00 | $133.08 |
| 85018 | Hemoglobin | 82,752 | $3.21 | $0.00 | $149.73 |
| D0330 | Panoramic image | 82,292 | $47.18 | $8.33 | $68.44 |
| 90834 | Psytx w pt 45 minutes | 81,108 | $122.90 | $9.32 | $361.05 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 80,486 | $86.41 | $0.00 | $675.42 |
| D1208 | Topical app fluorid ex vrnsh | 76,445 | $17.56 | $0.00 | $22.00 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 76,214 | $32.89 | $4.77 | $127.07 |
| J1885 | Ketorolac tromethamine inj | 75,928 | $0.38 | $0.00 | $71.00 |
| 99393 | Prev visit est age 5-11 | 75,798 | $114.65 | $0.00 | $377.11 |
| 96375 | Tx/pro/dx inj new drug addon | 75,029 | $32.91 | $0.00 | $1,377.53 |
| 83690 | Assay of lipase | 73,122 | $1.24 | $0.00 | $63.59 |
| 81002 | Urinalysis nonauto w/o scope | 72,013 | $4.81 | $0.00 | $277.80 |
| 96110 | Developmental screen w/score | 71,597 | $6.94 | $0.00 | $21.98 |
| 90832 | Psytx w pt 30 minutes | 70,883 | $81.06 | $0.00 | $375.24 |
| 95117 | Immunotherapy injections | 70,395 | $6.99 | $2.81 | $11.25 |
| G2067 | Med assist tx meth wk | 70,072 | $97.31 | $29.15 | $114.78 |
| 99282 | Emergency dept visit sf mdm | 69,087 | $111.83 | $8.24 | $342.71 |
| J1100 | Dexamethasone sodium phos | 69,067 | $0.17 | $0.00 | $19.55 |
| 3074F | Syst bp lt 130 mm hg | 68,579 | $0.52 | $0.00 | $65.22 |
| A0429 | Bls-emergency | 68,467 | $76.92 | $8.43 | $152.51 |
| 83036 | Hemoglobin glycosylated a1c | 67,418 | $6.46 | $0.00 | $105.54 |
| 84443 | Assay thyroid stim hormone | 65,585 | $4.34 | $0.00 | $117.28 |
| H0031 | Mh health assess by non-md | 65,440 | $144.94 | $52.03 | $242.57 |
| T1005 | Respite care service 15 min | 65,083 | $122.37 | $79.28 | $166.50 |
| 96361 | Hydrate iv infusion add-on | 63,926 | $52.73 | $0.00 | $877.53 |
| 87591 | N.gonorrhoeae dna amp prob | 63,829 | $9.37 | $0.00 | $104.37 |
| D2391 | Post 1 srfc resinbased cmpst | 63,449 | $106.48 | $0.00 | $599.39 |
| 87491 | Chlmyd trach dna amp probe | 62,770 | $34.97 | $0.00 | $115.68 |
| 70450 | Ct head/brain w/o dye | 62,707 | $26.59 | $0.00 | $227.12 |
| 74177 | Ct abd & pelvis w/contrast | 61,256 | $27.40 | $0.00 | $307.51 |
| J7030 | Normal saline solution infus | 59,815 | $60.39 | $0.00 | $398.44 |
| 3078F | Diast bp <80 mm hg | 59,258 | $0.16 | $0.00 | $22.50 |
| H2017 | Psysoc rehab svc, per 15 min | 59,171 | $62.91 | $10.17 | $141.13 |
| 80061 | Lipid panel | 58,743 | $8.11 | $0.00 | $105.14 |