Virginia Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Virginia, based on 2024 claims data.
2024 Overview
Procedures
2.8K
Total Claims
61.6M
Total Paid
$5.3B
Popular Services
Procedures
Showing 51–100 of 2,778 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 97150 | Group therapeutic procedures | 220,821 | $408.71 | $0.00 | $3,664.10 |
| 84484 | Assay of troponin quant | 219,263 | $0.25 | $0.00 | $17.30 |
| 3078F | Diast bp <80 mm hg | 212,525 | $3.37 | $-0.04 | $25.00 |
| A0425 | Ground mileage | 208,110 | $18.81 | $0.00 | $172.60 |
| S0201 | Partial hospitalization serv | 204,641 | $458.42 | $170.83 | $697.67 |
| 96372 | Ther/proph/diag inj sc/im | 192,671 | $8.23 | $0.00 | $719.00 |
| H0004 | Alcohol and/or drug services | 189,448 | $44.83 | $0.00 | $165.17 |
| J2405 | Ondansetron hcl injection | 189,252 | $0.10 | $0.00 | $44.92 |
| 90999 | Unlisted dialysis procedure | 188,737 | $64.77 | $6.08 | $239.68 |
| 96375 | Tx/pro/dx inj new drug addon | 184,882 | $3.26 | $0.00 | $331.07 |
| G2211 | Complex e/m visit add on | 182,312 | $8.89 | $0.00 | $125.28 |
| 83036 | Hemoglobin glycosylated a1c | 180,389 | $3.78 | $0.00 | $719.00 |
| 87086 | Urine culture/colony count | 179,270 | $2.00 | $0.00 | $158.83 |
| H2034 | A/d halfway house, per diem | 175,472 | $162.36 | $0.00 | $300.86 |
| 81025 | Urine pregnancy test | 169,138 | $2.69 | $0.00 | $193.75 |
| 74177 | Ct abd & pelvis w/contrast | 168,063 | $162.00 | $12.63 | $833.13 |
| 83690 | Assay of lipase | 167,729 | $0.21 | $0.00 | $7.32 |
| 90834 | Psytx w pt 45 minutes | 166,657 | $73.49 | $4.45 | $284.56 |
| D0220 | Intraoral periapical first | 164,337 | $0.63 | $0.00 | $16.29 |
| T1017 | Targeted case management | 163,368 | $358.21 | $19.17 | $367.31 |
| J1885 | Ketorolac tromethamine inj | 162,783 | $0.12 | $0.00 | $22.69 |
| D1110 | Dental prophylaxis adult | 162,427 | $2.05 | $0.00 | $67.76 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 162,006 | $1.36 | $0.00 | $550.57 |
| 81003 | Urinalysis auto w/o scope | 158,706 | $1.13 | $0.00 | $719.00 |
| A4657 | Syringe w/wo needle | 157,260 | $0.37 | $0.00 | $31.48 |
| 96127 | Brief emotional/behav assmt | 156,711 | $5.08 | $0.00 | $38.34 |
| G9012 | Other specified case mgmt | 155,122 | $227.60 | $0.00 | $263.76 |
| H0010 | Alcohol and/or drug services | 154,459 | $468.84 | $78.51 | $3,255.29 |
| 70450 | Ct head/brain w/o dye | 153,622 | $136.21 | $4.48 | $543.34 |
| 87426 | Sarscov coronavirus ag ia | 152,354 | $20.58 | $0.00 | $46.44 |
| 1036F | Tobacco non-user | 152,259 | $0.49 | $0.00 | $44.93 |
| 90460 | Im admin 1st/only component | 152,185 | $7.67 | $0.00 | $55.08 |
| 80061 | Lipid panel | 150,370 | $6.54 | $0.00 | $719.00 |
| H0040 | Assert comm tx pgm per diem | 146,260 | $230.27 | $39.33 | $933.62 |
| 84443 | Assay thyroid stim hormone | 141,425 | $5.39 | $0.00 | $719.00 |
| H0015 | Alcohol and/or drug services | 141,399 | $221.19 | $0.00 | $322.00 |
| 99204 | Office o/p new mod 45 min | 141,038 | $109.06 | $0.00 | $719.00 |
| 96361 | Hydrate iv infusion add-on | 134,543 | $398.98 | $168.96 | $933.08 |
| 99215 | Office o/p est hi 40 min | 133,462 | $99.42 | $0.00 | $719.00 |
| 99203 | Office o/p new low 30 min | 132,375 | $78.50 | $0.00 | $719.00 |
| 82962 | Glucose blood test | 131,717 | $0.58 | $0.00 | $24.31 |
| D0230 | Intraoral periapical ea add | 130,821 | $0.77 | $0.00 | $40.16 |
| 99392 | Prev visit est age 1-4 | 127,022 | $76.38 | $0.00 | $207.31 |
| 99233 | Sbsq hosp ip/obs high 50 | 126,663 | $58.38 | $0.00 | $108.61 |
| 90832 | Psytx w pt 30 minutes | 126,216 | $54.11 | $0.00 | $743.79 |
| T2033 | Res, nos waiver per diem | 125,708 | $1,709.73 | $307.73 | $12,412.53 |
| 92015 | Determine refractive state | 123,366 | $9.65 | $0.00 | $23.53 |
| T4535 | Disposable liner/shield/pad | 120,244 | $22.67 | $12.81 | $70.95 |
| S9124 | Nursing care, in the home; b | 118,314 | $617.71 | $69.74 | $4,153.25 |
| 99000 | Specimen handling office-lab | 117,223 | $1.41 | $0.00 | $4.50 |