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 101–150 of 1,897 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 87811 | Sars-cov-2 covid19 w/optic | 57,635 | $33.98 | $0.00 | $46.79 |
| 90935 | Hemodialysis one evaluation | 57,186 | $23.47 | $0.00 | $197.56 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 56,806 | $44.39 | $0.17 | $81.94 |
| 80307 | Drug test prsmv chem anlyzr | 56,356 | $34.08 | $0.00 | $508.22 |
| G9153 | Mapcp demo physician | 55,473 | $54.57 | $0.00 | $81.25 |
| 87635 | Sars-cov-2 covid-19 amp prb | 55,372 | $40.14 | $0.00 | $298.50 |
| D7140 | Extraction erupted tooth/exr | 54,633 | $122.01 | $0.00 | $552.31 |
| D2930 | Prefab stnlss steel crwn pri | 54,560 | $157.00 | $0.00 | $1,147.73 |
| 87428 | Sarscov & inf vir a&b ag ia | 51,984 | $58.91 | $3.94 | $174.44 |
| 87651 | Strep a dna amp probe | 51,682 | $26.82 | $0.00 | $252.26 |
| 99211 | Off/op est may x req phy/qhp | 51,265 | $59.54 | $0.00 | $117.80 |
| J3490 | Drugs unclassified injection | 50,958 | $14.11 | $0.00 | $563.21 |
| D0140 | Limit oral eval problm focus | 50,537 | $37.46 | $0.00 | $40.66 |
| V2020 | Vision svcs frames purchases | 50,384 | $34.27 | $0.00 | $52.50 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, | 49,458 | $8.11 | $1.73 | $28.39 |
| 92340 | Fit spectacles monofocal | 47,569 | $20.07 | $0.00 | $27.90 |
| 90677 | Pcv20 vaccine im | 47,008 | $4.51 | $0.00 | $257.25 |
| 99204 | Office o/p new mod 45 min | 46,656 | $97.02 | $0.00 | $188.14 |
| J7120 | Ringers lactate infusion | 46,375 | $31.72 | $0.00 | $644.72 |
| 99349 | Home/res vst est mod mdm 40 | 46,297 | $41.33 | $0.00 | $107.88 |
| G0378 | Hospital observation per hr | 45,740 | $3.53 | $0.00 | $47.88 |
| A0427 | Als1-emergency | 45,685 | $91.81 | $0.00 | $194.87 |
| 87661 | Trichomonas vaginalis amplif | 45,547 | $15.02 | $0.00 | $363.70 |
| S5161 | Emer rspns sys serv permonth | 45,505 | $30.08 | $14.80 | $31.01 |
| 99394 | Prev visit est age 12-17 | 45,280 | $125.86 | $8.70 | $377.51 |
| 99215 | Office o/p est hi 40 min | 45,177 | $87.81 | $0.00 | $370.14 |
| 87636 | Sarscov2 & inf a&b amp prb | 44,757 | $132.83 | $0.00 | $364.66 |
| 92014 | Compre oph exam est pt 1/> | 43,297 | $73.54 | $4.87 | $241.20 |
| J2704 | Inj, propofol, 10 mg | 43,080 | $0.95 | $0.00 | $41.98 |
| 85610 | Prothrombin time | 42,257 | $4.49 | $0.00 | $105.11 |
| 87426 | Sarscov coronavirus ag ia | 41,074 | $35.42 | $0.00 | $189.17 |
| 96365 | Ther/proph/diag iv inf init | 40,935 | $67.62 | $0.00 | $1,457.71 |
| A4927 | Non-sterile gloves | 39,905 | $11.95 | $4.04 | $20.97 |
| 88305 | Tissue exam by pathologist | 39,320 | $49.04 | $0.00 | $605.49 |
| 99203 | Office o/p new low 30 min | 39,105 | $63.77 | $5.06 | $334.62 |
| J3010 | Fentanyl citrate injection | 39,002 | $0.38 | $0.00 | $63.92 |
| 90847 | Family psytx w/pt 50 min | 38,564 | $163.39 | $22.53 | $327.42 |
| T4535 | Disposable liner/shield/pad | 37,631 | $31.17 | $2.14 | $38.12 |
| 83540 | Assay of iron | 36,688 | $1.02 | $0.00 | $47.75 |
| 93306 | Tte w/doppler complete | 35,257 | $83.07 | $0.00 | $445.67 |
| 87637 | Sarscov2&inf a&b&rsv amp prb | 34,984 | $96.84 | $0.00 | $277.85 |
| 1159F | Med list docd in rcrd | 34,468 | $0.10 | $0.00 | $58.55 |
| 82728 | Assay of ferritin | 33,150 | $7.23 | $0.00 | $85.85 |
| 74018 | Radex abdomen 1 view | 31,127 | $22.84 | $0.00 | $240.46 |
| 3008F | Body mass index docd | 30,446 | $0.00 | $0.00 | $0.06 |
| 1160F | Rvw meds by rx/dr in rcrd | 30,423 | $0.00 | $0.00 | $1.37 |
| J2250 | Inj midazolam hydrochloride | 30,419 | $0.23 | $0.00 | $70.44 |
| 86901 | Blood typing serologic rh(d) | 30,035 | $4.78 | $0.00 | $280.02 |
| 86900 | Blood typing serologic abo | 29,674 | $20.54 | $0.00 | $378.54 |
| 83880 | Assay of natriuretic peptide | 29,336 | $2.74 | $0.00 | $75.04 |