U.S. Virgin Islands Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in U.S. Virgin Islands, based on 2024 claims data.
2024 Overview
Procedures
399
Total Claims
270.1K
Total Paid
$16.2M
Popular Services
Procedures
Showing 1–50 of 399 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 36415 | Coll venous bld venipuncture | 15,212 | $83.84 | $0.00 | $299.25 |
| 99214 | Office o/p est mod 30 min | 14,037 | $114.56 | $14.21 | $390.76 |
| 99213 | Office o/p est low 20 min | 10,988 | $85.67 | $0.00 | $235.92 |
| 85025 | Complete cbc w/auto diff wbc | 10,045 | $7.12 | $0.00 | $87.74 |
| 80053 | Comprehen metabolic panel | 8,334 | $29.62 | $0.00 | $237.17 |
| 90999 | Unlisted dialysis procedure | 7,247 | $83.90 | $0.45 | $196.17 |
| 97110 | Therapeutic exercises | 6,763 | $49.32 | $0.00 | $83.49 |
| 92507 | Tx sp lang voice comm indiv | 5,556 | $70.57 | $41.37 | $82.57 |
| 97530 | Therapeutic activities | 4,824 | $87.36 | $0.00 | $139.44 |
| 99283 | Emergency dept visit low mdm | 4,550 | $19.16 | $0.00 | $93.77 |
| 99282 | Emergency dept visit sf mdm | 4,531 | $60.00 | $33.29 | $203.53 |
| 83036 | Hemoglobin glycosylated a1c | 4,490 | $15.69 | $0.00 | $77.21 |
| 80061 | Lipid panel | 4,331 | $17.89 | $0.00 | $91.00 |
| 84443 | Assay thyroid stim hormone | 3,918 | $24.67 | $0.00 | $114.19 |
| 81003 | Urinalysis auto w/o scope | 3,321 | $45.21 | $0.00 | $80.01 |
| 96158 | Hlth bhv ivntj indiv 1st 30 | 3,185 | $58.38 | $31.30 | $72.00 |
| 81002 | Urinalysis nonauto w/o scope | 3,128 | $5.07 | $0.91 | $14.63 |
| V2755 | Uv lens/es | 3,123 | $19.57 | $9.62 | $20.00 |
| V2760 | Scratch resistant coating | 3,123 | $14.68 | $7.21 | $15.00 |
| V2020 | Vision svcs frames purchases | 3,089 | $54.38 | $44.81 | $55.30 |
| 99000 | Specimen handling office-lab | 3,025 | $30.81 | $0.00 | $69.98 |
| 87088 | Urine bacteria culture | 2,752 | $4.99 | $0.00 | $21.92 |
| V2745 | Tint, any color/solid/grad | 2,741 | $7.91 | $6.57 | $8.00 |
| 81001 | Urinalysis auto w/scope | 2,633 | $4.06 | $0.00 | $24.45 |
| 99284 | Emergency dept visit mod mdm | 2,528 | $11.13 | $2.27 | $36.74 |
| 90837 | Psytx w pt 60 minutes | 2,483 | $197.23 | $119.91 | $414.59 |
| J2501 | Paricalcitol | 2,387 | $21.87 | $14.77 | $40.05 |
| 81025 | Urine pregnancy test | 2,347 | $23.29 | $0.00 | $51.97 |
| 90460 | Im admin 1st/only component | 2,274 | $20.62 | $0.72 | $58.92 |
| 96374 | Ther/proph/diag inj iv push | 1,925 | $79.88 | $0.00 | $144.05 |
| D0220 | Intraoral periapical first | 1,814 | $8.95 | $0.00 | $38.54 |
| 99281 | Emr dpt vst mayx req phy/qhp | 1,792 | $200.38 | $103.86 | $327.16 |
| D0150 | Comprehensve oral evaluation | 1,678 | $72.47 | $0.00 | $122.58 |
| 93005 | Electrocardiogram tracing | 1,674 | $13.88 | $0.00 | $27.68 |
| 96372 | Ther/proph/diag inj sc/im | 1,614 | $82.49 | $0.00 | $201.58 |
| 71046 | X-ray exam chest 2 views | 1,593 | $59.89 | $7.71 | $177.82 |
| V2100 | Lens spher single plano 4.00 | 1,581 | $73.48 | $37.50 | $75.06 |
| D1110 | Dental prophylaxis adult | 1,578 | $67.57 | $0.00 | $110.00 |
| D0230 | Intraoral periapical ea add | 1,554 | $8.17 | $0.00 | $25.00 |
| 82962 | Glucose blood test | 1,514 | $15.68 | $0.24 | $46.66 |
| 90461 | Im admin each addl component | 1,442 | $32.49 | $0.50 | $91.70 |
| 80048 | Basic metabolic pnl total ca | 1,411 | $6.70 | $0.00 | $73.93 |
| 97140 | Manual therapy 1/> regions | 1,391 | $26.14 | $20.97 | $29.37 |
| D0274 | Bitewings four images | 1,390 | $27.53 | $0.00 | $99.00 |
| 84439 | Assay of free thyroxine | 1,386 | $18.73 | $0.00 | $78.96 |
| J1885 | Ketorolac tromethamine inj | 1,362 | $4.15 | $0.00 | $18.86 |
| 99177 | Ocular instrumnt screen bil | 1,279 | $10.71 | $4.57 | $15.00 |
| J1642 | Inj heparin sodium per 10 u | 1,272 | $81.12 | $42.16 | $127.57 |
| D0120 | Periodic oral evaluation | 1,260 | $44.15 | $0.00 | $94.02 |
| 87491 | Chlmyd trach dna amp probe | 1,257 | $49.35 | $0.00 | $114.39 |