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 101–150 of 2,778 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 90833 | Psytx w pt w e/m 30 min | 111,615 | $58.29 | $0.00 | $184.17 |
| 97140 | Manual therapy 1/> regions | 110,734 | $22.67 | $0.00 | $1,078.50 |
| 99173 | Visual acuity screen | 110,109 | $2.28 | $0.00 | $9.89 |
| A4927 | Non-sterile gloves | 109,219 | $12.29 | $5.45 | $32.00 |
| 97155 | Adapt behavior tx phys/qhp | 107,541 | $277.31 | $59.86 | $1,904.97 |
| 99211 | Off/op est may x req phy/qhp | 106,778 | $39.55 | $0.00 | $328.54 |
| 99391 | Per pm reeval est pat infant | 106,538 | $69.41 | $13.63 | $387.30 |
| S5121 | Chore services per diem | 105,685 | $1,504.34 | $981.54 | $1,726.57 |
| J2704 | Inj, propofol, 10 mg | 105,577 | $0.33 | $0.00 | $57.14 |
| D0150 | Comprehensve oral evaluation | 103,246 | $1.93 | $0.00 | $70.13 |
| 99282 | Emergency dept visit sf mdm | 102,495 | $208.79 | $0.00 | $467.78 |
| 90471 | Immunization admin | 100,666 | $7.36 | $0.00 | $29.21 |
| D2392 | Post 2 srfc resinbased cmpst | 100,478 | $5.69 | $0.00 | $138.49 |
| 88305 | Tissue exam by pathologist | 100,089 | $29.84 | $0.00 | $269.09 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 100,077 | $42.45 | $4.20 | $89.62 |
| J1100 | Dexamethasone sodium phos | 100,000 | $0.22 | $0.00 | $17.40 |
| 92014 | Compre oph exam est pt 1/> | 99,356 | $71.78 | $0.00 | $234.74 |
| D0274 | Bitewings four images | 97,609 | $1.69 | $0.00 | $38.80 |
| 1160F | Rvw meds by rx/dr in rcrd | 97,520 | $0.01 | $0.00 | $1.97 |
| 99308 | Sbsq nf care low mdm 20 | 97,489 | $15.64 | $0.00 | $77.32 |
| 99212 | Office o/p est sf 10 min | 97,487 | $110.14 | $0.00 | $719.00 |
| J1644 | Inj heparin sodium per 1000u | 97,204 | $0.16 | $0.00 | $21.92 |
| A0429 | Bls-emergency | 97,158 | $89.46 | $12.82 | $200.16 |
| 87591 | N.gonorrhoeae dna amp prob | 96,083 | $4.91 | $0.00 | $33.82 |
| 92551 | Pure tone hearing test air | 95,537 | $10.14 | $0.00 | $22.62 |
| 87491 | Chlmyd trach dna amp probe | 94,947 | $7.28 | $0.00 | $74.37 |
| 87428 | Sarscov & inf vir a&b ag ia | 94,706 | $24.53 | $0.00 | $103.33 |
| 85610 | Prothrombin time | 94,369 | $1.06 | $0.00 | $37.08 |
| 95117 | Immunotherapy injections | 92,566 | $9.41 | $1.33 | $51.81 |
| 99393 | Prev visit est age 5-11 | 92,316 | $77.06 | $0.00 | $214.59 |
| 90853 | Group psychotherapy | 89,296 | $33.07 | $0.00 | $910.73 |
| T4527 | Adult size pull-on lg | 88,948 | $57.63 | $34.11 | $122.05 |
| D1208 | Topical app fluorid ex vrnsh | 88,467 | $1.19 | $0.00 | $29.48 |
| 85018 | Hemoglobin | 84,729 | $1.62 | $0.00 | $30.31 |
| 96110 | Developmental screen w/score | 84,409 | $19.57 | $0.00 | $934.75 |
| 96160 | Pt-focused hlth risk assmt | 83,980 | $2.72 | $0.00 | $29.34 |
| H2014 | Skills train and dev, 15 min | 83,560 | $1,157.60 | $0.00 | $13,207.52 |
| D1351 | Dental sealant per tooth | 81,841 | $3.80 | $0.00 | $121.15 |
| 83605 | Assay of lactic acid | 81,158 | $0.32 | $0.00 | $20.23 |
| G0480 | Drug test def 1-7 classes | 80,989 | $45.12 | $0.00 | $84.21 |
| D0272 | Dental bitewings two images | 80,714 | $0.61 | $0.00 | $32.27 |
| J3010 | Fentanyl citrate injection | 80,235 | $0.11 | $0.00 | $7.47 |
| T4526 | Adult size pull-on med | 80,061 | $52.74 | $29.93 | $102.22 |
| J7030 | Normal saline solution infus | 78,972 | $0.07 | $0.00 | $1.98 |
| 93306 | Tte w/doppler complete | 77,514 | $176.04 | $5.61 | $1,228.08 |
| 84703 | Chorionic gonadotropin assay | 77,066 | $0.25 | $0.00 | $19.93 |
| T4541 | Large disposable underpad | 77,044 | $35.59 | $15.96 | $60.38 |
| 77067 | Scr mammo bi incl cad | 76,145 | $41.31 | $0.22 | $139.81 |
| 99509 | Home visit day life activity | 75,570 | $75.40 | $13.06 | $112.67 |
| 92004 | Compre oph exam new pt 1/> | 75,331 | $75.10 | $0.00 | $218.59 |