Vermont Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Vermont, based on 2024 claims data.
2024 Overview
Procedures
705
Total Claims
3.5M
Total Paid
$467.9M
Popular Services
Procedures
Showing 1–50 of 705 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| H2015 | Comp comm supp svc, 15 min | 217,807 | $129.61 | $0.00 | $811.62 |
| S5140 | Adult foster care per diem | 217,290 | $0.00 | $0.00 | $0.00 |
| T1016 | Case management | 206,602 | $0.70 | $0.00 | $271.74 |
| T1015 | Clinic service | 206,564 | $176.11 | $0.00 | $320.98 |
| T2021 | Day habil waiver per 15 min | 191,037 | $19.20 | $0.00 | $286.04 |
| 90837 | Psytx w pt 60 minutes | 187,140 | $74.64 | $0.00 | $174.39 |
| 99213 | Office o/p est low 20 min | 175,914 | $16.95 | $0.00 | $176.49 |
| 99214 | Office o/p est mod 30 min | 175,836 | $34.12 | $0.00 | $198.13 |
| S5150 | Unskilled respite care /15m | 104,214 | $0.00 | $0.00 | $0.00 |
| H2017 | Psysoc rehab svc, per 15 min | 89,265 | $23.60 | $0.00 | $242.92 |
| G2067 | Med assist tx meth wk | 76,082 | $190.27 | $0.18 | $190.82 |
| T2016 | Habil res waiver per diem | 62,338 | $0.00 | $0.00 | $0.00 |
| D1206 | Topical fluoride varnish | 51,625 | $29.83 | $0.00 | $33.75 |
| H2025 | Supp maint employ, 15 min | 50,298 | $0.00 | $0.00 | $0.00 |
| D0120 | Periodic oral evaluation | 47,026 | $35.25 | $0.00 | $41.54 |
| 3074F | Syst bp lt 130 mm hg | 39,425 | $0.02 | $0.00 | $2.96 |
| 90834 | Psytx w pt 45 minutes | 36,649 | $15.95 | $0.00 | $134.72 |
| 3078F | Diast bp <80 mm hg | 36,167 | $0.02 | $0.00 | $2.78 |
| S5151 | Unskilled respitecare /diem | 32,929 | $0.00 | $0.00 | $0.00 |
| 99199 | Unlisted special svc px/rprt | 30,910 | $7,522.54 | $0.00 | $13,584.93 |
| D1110 | Dental prophylaxis adult | 30,159 | $65.86 | $0.00 | $80.48 |
| 93010 | Electrocardiogram report | 29,073 | $1.59 | $0.00 | $6.27 |
| A0425 | Ground mileage | 28,361 | $64.73 | $3.00 | $393.79 |
| T2033 | Res, nos waiver per diem | 27,459 | $202.07 | $0.00 | $973.27 |
| T2017 | Habil res waiver 15 min | 26,560 | $0.00 | $0.00 | $0.00 |
| T1020 | Personal care ser per diem | 25,804 | $434.02 | $375.78 | $1,894.71 |
| D1120 | Dental prophylaxis child | 25,285 | $54.18 | $0.00 | $60.75 |
| H0020 | Alcohol and/or drug services | 23,880 | $443.67 | $104.73 | $632.72 |
| 99284 | Emergency dept visit mod mdm | 23,304 | $22.45 | $0.00 | $293.02 |
| 99283 | Emergency dept visit low mdm | 20,647 | $17.71 | $0.00 | $172.05 |
| H2020 | Ther behav svc, per diem | 19,710 | $424.78 | $154.11 | $520.79 |
| G0467 | Fqhc visit, estab pt | 19,545 | $29.82 | $0.00 | $39.89 |
| 92015 | Determine refractive state | 18,483 | $13.97 | $0.00 | $30.73 |
| 98941 | Chiropract manj 3-4 regions | 18,336 | $25.85 | $0.00 | $37.16 |
| D0274 | Bitewings four images | 15,754 | $42.91 | $0.00 | $52.64 |
| D1351 | Dental sealant per tooth | 15,386 | $23.37 | $0.00 | $43.50 |
| 99215 | Office o/p est hi 40 min | 15,264 | $70.57 | $0.00 | $194.64 |
| H2014 | Skills train and dev, 15 min | 14,722 | $8.53 | $0.00 | $124.78 |
| 90832 | Psytx w pt 30 minutes | 14,674 | $26.52 | $0.00 | $69.31 |
| 90471 | Immunization admin | 14,588 | $4.02 | $0.00 | $22.65 |
| T1024 | Team evaluation & management | 14,252 | $596.41 | $8.23 | $650.00 |
| T1017 | Targeted case management | 13,314 | $23.82 | $0.00 | $86.00 |
| H2011 | Crisis interven svc, 15 min | 13,177 | $0.13 | $0.00 | $8.02 |
| 90460 | Im admin 1st/only component | 13,033 | $6.48 | $0.00 | $57.52 |
| D0220 | Intraoral periapical first | 12,962 | $20.31 | $0.00 | $25.91 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 12,886 | $31.82 | $0.00 | $75.19 |
| D0140 | Limit oral eval problm focus | 12,040 | $53.68 | $0.00 | $63.75 |
| H0023 | Alcohol and/or drug outreach | 11,661 | $1,143.27 | $471.79 | $2,462.83 |
| A0429 | Bls-emergency | 11,473 | $244.12 | $120.81 | $443.00 |
| H2023 | Supported employ, per 15 min | 10,947 | $0.00 | $0.00 | $0.00 |