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 51–100 of 399 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| D0330 | Panoramic image | 1,257 | $104.19 | $74.41 | $155.00 |
| J2405 | Ondansetron hcl injection | 1,192 | $1.35 | $0.00 | $11.43 |
| 96375 | Tx/pro/dx inj new drug addon | 1,176 | $2.88 | $0.00 | $13.65 |
| 98941 | Chiropract manj 3-4 regions | 1,166 | $40.25 | $37.36 | $42.32 |
| D0140 | Limit oral eval problm focus | 1,146 | $42.09 | $0.00 | $125.00 |
| 99215 | Office o/p est hi 40 min | 1,105 | $122.65 | $20.45 | $329.27 |
| D7140 | Extraction erupted tooth/exr | 1,090 | $99.83 | $0.00 | $271.79 |
| 93922 | Upr/l xtremity art 2 levels | 1,089 | $73.67 | $67.18 | $84.19 |
| 81015 | Microscopic exam of urine | 1,080 | $0.38 | $0.00 | $23.86 |
| D9630 | Drugs/meds disp for home use | 1,070 | $0.00 | $0.00 | $0.00 |
| 87591 | N.gonorrhoeae dna amp prob | 1,067 | $51.24 | $0.00 | $114.39 |
| V2200 | Lens spher bifoc plano 4.00d | 1,059 | $110.68 | $79.62 | $115.00 |
| D1330 | Oral hygiene instructions | 1,046 | $52.25 | $11.26 | $64.61 |
| 81000 | Urinalysis nonauto w/scope | 994 | $4.89 | $1.43 | $18.29 |
| T1019 | Personal care ser per 15 min | 968 | $759.90 | $330.85 | $1,739.58 |
| 85027 | Complete cbc automated | 934 | $12.73 | $0.00 | $43.34 |
| 84484 | Assay of troponin quant | 932 | $3.72 | $0.00 | $80.33 |
| D1208 | Topical app fluorid ex vrnsh | 920 | $41.93 | $24.43 | $53.79 |
| 99001 | Specimen handling pt-lab | 918 | $6.80 | $0.00 | $18.38 |
| 99392 | Prev visit est age 1-4 | 909 | $111.01 | $5.00 | $195.89 |
| 97112 | Neuromuscular reeducation | 906 | $31.36 | $21.60 | $39.74 |
| 93000 | Electrocardiogram complete | 904 | $18.75 | $0.00 | $125.72 |
| 87110 | Chlamydia culture | 902 | $13.46 | $5.13 | $95.49 |
| 96110 | Developmental screen w/score | 889 | $19.21 | $0.59 | $27.37 |
| D1351 | Dental sealant per tooth | 880 | $61.85 | $48.45 | $85.68 |
| D1120 | Dental prophylaxis child | 870 | $59.35 | $0.00 | $75.14 |
| 77067 | Scr mammo bi incl cad | 860 | $71.51 | $0.00 | $321.62 |
| 86592 | Syphilis test non-trep qual | 838 | $13.42 | $0.00 | $23.91 |
| 99391 | Per pm reeval est pat infant | 791 | $104.45 | $43.85 | $174.40 |
| 70450 | Ct head/brain w/o dye | 785 | $61.59 | $22.47 | $128.72 |
| 82306 | Vitamin d 25 hydroxy | 783 | $46.86 | $0.00 | $218.63 |
| 87426 | Sarscov coronavirus ag ia | 767 | $121.63 | $63.97 | $262.99 |
| G0378 | Hospital observation per hr | 758 | $22.83 | $0.00 | $125.10 |
| 88305 | Tissue exam by pathologist | 737 | $30.60 | $0.00 | $149.74 |
| 87389 | Hiv-1 ag w/hiv-1&-2 ab ag ia | 736 | $43.87 | $16.75 | $76.79 |
| 90960 | Esrd srv 4 visits p mo 20+ | 733 | $136.52 | $68.90 | $265.48 |
| Q4081 | Epoetin alfa, 100 units esrd | 712 | $21.57 | $17.24 | $24.67 |
| D0210 | Intraor comprehensive series | 704 | $50.49 | $0.00 | $125.42 |
| G0283 | Elec stim other than wound | 701 | $11.93 | $11.04 | $12.47 |
| G0467 | Fqhc visit, estab pt | 681 | $20.11 | $11.31 | $97.88 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 676 | $4.51 | $0.00 | $41.81 |
| 82043 | Ur albumin quantitative | 671 | $7.85 | $0.00 | $47.50 |
| 71045 | X-ray exam chest 1 view | 670 | $25.90 | $0.00 | $84.24 |
| 99393 | Prev visit est age 5-11 | 657 | $93.41 | $61.76 | $200.46 |
| 85610 | Prothrombin time | 646 | $0.46 | $0.00 | $2.62 |
| D2392 | Post 2 srfc resinbased cmpst | 627 | $206.29 | $0.00 | $272.00 |
| 84153 | Assay of psa total | 614 | $8.08 | $0.00 | $15.76 |
| 87086 | Urine culture/colony count | 606 | $54.98 | $8.07 | $68.61 |
| J2704 | Inj, propofol, 10 mg | 594 | $3.42 | $0.00 | $26.07 |
| 83690 | Assay of lipase | 586 | $1.00 | $0.00 | $13.37 |