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 101–150 of 399 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 83735 | Assay of magnesium | 585 | $2.86 | $0.00 | $19.56 |
| D2391 | Post 1 srfc resinbased cmpst | 581 | $150.09 | $0.00 | $215.00 |
| 99204 | Office o/p new mod 45 min | 576 | $158.47 | $71.80 | $362.30 |
| 96365 | Ther/proph/diag iv inf init | 539 | $24.93 | $0.00 | $67.04 |
| D1206 | Topical fluoride varnish | 537 | $25.21 | $0.00 | $46.00 |
| 83037 | Hb glycosylated a1c home dev | 536 | $27.26 | $8.50 | $57.48 |
| 90834 | Psytx w pt 45 minutes | 514 | $74.46 | $38.67 | $111.03 |
| 74177 | Ct abd & pelvis w/contrast | 512 | $26.92 | $0.00 | $174.51 |
| 87635 | Sars-cov-2 covid-19 amp prb | 510 | $71.13 | $48.29 | $150.00 |
| 87186 | Sc std microdil/agar dil | 509 | $2.08 | $0.00 | $14.14 |
| 82948 | Reagent strip/blood glucose | 505 | $5.73 | $0.00 | $17.08 |
| J0882 | Darbepoetin alfa, esrd use | 505 | $74.42 | $56.15 | $120.97 |
| 92551 | Pure tone hearing test air | 493 | $19.47 | $12.63 | $30.00 |
| 84550 | Assay of blood/uric acid | 492 | $2.34 | $0.00 | $17.99 |
| 96361 | Hydrate iv infusion add-on | 479 | $10.91 | $0.00 | $28.40 |
| 97032 | Appl modality 1+estim ea 15 | 471 | $14.73 | $14.49 | $15.41 |
| 84702 | Chorionic gonadotropin test | 454 | $4.04 | $0.00 | $78.65 |
| J0696 | Ceftriaxone sodium injection | 447 | $2.86 | $0.00 | $11.75 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 444 | $180.89 | $6.06 | $235.83 |
| 92134 | Cptrz oph dx img pst sgm rta | 441 | $21.82 | $13.78 | $33.14 |
| 99203 | Office o/p new low 30 min | 441 | $110.68 | $56.36 | $298.65 |
| A4657 | Syringe w/wo needle | 439 | $1.46 | $1.40 | $1.55 |
| 88142 | Cytopath c/v thin layer | 433 | $55.61 | $26.72 | $95.70 |
| D7210 | Rem imp tooth w mucoper flp | 433 | $174.64 | $0.00 | $329.40 |
| 84100 | Assay of phosphorus | 429 | $1.71 | $0.00 | $3.03 |
| D2740 | Crown porcelain/ceramic | 424 | $1,069.51 | $1,061.10 | $1,080.69 |
| 87077 | Culture aerobic identify | 419 | $7.73 | $0.00 | $103.86 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, | 419 | $28.06 | $13.14 | $75.51 |
| 90832 | Psytx w pt 30 minutes | 415 | $68.93 | $44.09 | $84.17 |
| 92250 | Fundus photography w/i&r | 412 | $23.64 | $12.93 | $39.64 |
| 96127 | Brief emotional/behav assmt | 412 | $13.65 | $9.71 | $26.25 |
| 82550 | Assay of ck (cpk) | 408 | $0.19 | $0.00 | $0.83 |
| 84481 | Free assay (ft-3) | 406 | $9.43 | $0.00 | $16.94 |
| 82553 | Creatine mb fraction | 404 | $2.62 | $0.00 | $57.09 |
| Q0162 | Ondansetron oral | 391 | $20.57 | $0.00 | $283.00 |
| J2916 | Na ferric gluconate complex | 389 | $2.88 | $0.00 | $19.02 |
| 99211 | Off/op est may x req phy/qhp | 382 | $60.75 | $40.70 | $99.19 |
| 82728 | Assay of ferritin | 375 | $3.55 | $0.00 | $11.53 |
| 84436 | Assay of total thyroxine | 375 | $2.49 | $0.00 | $6.38 |
| 92014 | Compre oph exam est pt 1/> | 371 | $58.74 | $29.32 | $89.43 |
| A0130 | Noner transport wheelch van | 363 | $264.10 | $187.29 | $325.00 |
| 85651 | Rbc sed rate nonautomated | 358 | $4.69 | $0.00 | $64.60 |
| 82570 | Assay of urine creatinine | 351 | $2.62 | $0.00 | $22.09 |
| J2270 | Morphine sulfate injection | 349 | $5.66 | $0.00 | $39.76 |
| 87804 | Influenza assay w/optic | 347 | $29.20 | $0.25 | $156.07 |
| 86901 | Blood typing serologic rh(d) | 345 | $5.50 | $0.00 | $24.51 |
| 92609 | Use of speech device service | 342 | $75.47 | $54.10 | $111.26 |
| 82607 | Vitamin b-12 | 339 | $23.81 | $0.00 | $101.05 |
| 99173 | Visual acuity screen | 337 | $19.40 | $6.84 | $25.91 |
| 88313 | Special stains group 2 | 336 | $73.85 | $34.42 | $121.89 |