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 51–100 of 705 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| D2392 | Post 2 srfc resinbased cmpst | 10,870 | $150.41 | $0.00 | $174.75 |
| 97110 | Therapeutic exercises | 10,862 | $36.80 | $0.00 | $81.87 |
| 96127 | Brief emotional/behav assmt | 10,798 | $1.24 | $0.00 | $10.27 |
| G2078 | Take-home meth | 10,708 | $48.41 | $32.32 | $104.16 |
| S5135 | Adult companioncare per 15m | 10,593 | $0.00 | $0.00 | $0.00 |
| 80307 | Drug test prsmv chem anlyzr | 10,118 | $50.27 | $9.71 | $73.97 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 9,584 | $57.45 | $27.47 | $134.88 |
| G2211 | Complex e/m visit add on | 9,435 | $0.96 | $0.00 | $23.26 |
| D1354 | Int caries med app per tooth | 9,128 | $21.26 | $9.07 | $27.23 |
| 99285 | Emergency dept visit hi mdm | 9,002 | $36.04 | $0.00 | $404.50 |
| 3008F | Body mass index docd | 8,944 | $0.00 | $0.00 | $0.00 |
| 71046 | X-ray exam chest 2 views | 8,770 | $6.14 | $0.00 | $189.57 |
| 36415 | Coll venous bld venipuncture | 8,615 | $5.97 | $0.00 | $71.92 |
| D0150 | Comprehensve oral evaluation | 8,539 | $77.21 | $0.00 | $97.50 |
| A7038 | Pos airway pressure filter | 8,061 | $13.19 | $0.00 | $54.27 |
| G0463 | Hospital outpt clinic visit | 7,820 | $27.23 | $0.00 | $163.30 |
| D0330 | Panoramic image | 7,610 | $78.40 | $0.00 | $94.50 |
| 71045 | X-ray exam chest 1 view | 7,570 | $3.91 | $0.00 | $83.29 |
| S5100 | Adult daycare services 15min | 7,570 | $0.00 | $0.00 | $0.00 |
| A0427 | Als1-emergency | 7,422 | $296.31 | $132.92 | $513.54 |
| 97140 | Manual therapy 1/> regions | 7,411 | $26.87 | $6.18 | $49.45 |
| D7140 | Extraction erupted tooth/exr | 7,105 | $106.65 | $57.85 | $130.50 |
| D0230 | Intraoral periapical ea add | 7,104 | $17.04 | $0.00 | $45.63 |
| 99308 | Sbsq nf care low mdm 20 | 7,031 | $2.87 | $0.00 | $46.28 |
| 99204 | Office o/p new mod 45 min | 7,009 | $72.44 | $0.00 | $170.98 |
| 99203 | Office o/p new low 30 min | 6,999 | $32.77 | $0.00 | $110.13 |
| T1027 | Family training & counseling | 6,819 | $0.00 | $0.00 | $0.00 |
| 87428 | Sarscov & inf vir a&b ag ia | 6,806 | $36.48 | $0.00 | $62.54 |
| E0601 | Continuous positive airway pressure (cpap) device | 6,766 | $51.76 | $3.23 | $86.90 |
| 97530 | Therapeutic activities | 6,666 | $93.90 | $33.50 | $126.77 |
| 87880 | Strep a assay w/optic | 6,658 | $7.47 | $0.00 | $16.36 |
| 88305 | Tissue exam by pathologist | 6,554 | $23.67 | $0.00 | $137.18 |
| D0272 | Dental bitewings two images | 6,551 | $33.55 | $0.00 | $36.75 |
| G2074 | Med assist tx no drug | 6,340 | $149.32 | $148.98 | $149.34 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | 6,240 | $0.15 | $0.00 | $11.01 |
| E0570 | Nebulizer, with compressor | 6,098 | $9.51 | $2.04 | $57.92 |
| H2000 | Comp multidisipln evaluation | 6,038 | $11.83 | $0.00 | $700.00 |
| 99000 | Specimen handling office-lab | 6,034 | $0.04 | $0.00 | $1.41 |
| H0004 | Alcohol and/or drug services | 5,982 | $66.92 | $0.00 | $119.42 |
| 92014 | Compre oph exam est pt 1/> | 5,915 | $71.03 | $0.00 | $116.29 |
| D2391 | Post 1 srfc resinbased cmpst | 5,806 | $106.43 | $12.38 | $125.25 |
| A4604 | Tubing with heating element | 5,785 | $37.11 | $0.00 | $60.76 |
| 99212 | Office o/p est sf 10 min | 5,747 | $8.32 | $0.00 | $72.99 |
| 99393 | Prev visit est age 5-11 | 5,713 | $8.90 | $0.00 | $112.77 |
| E0562 | Humidifier, heated, used with positive airway pressure device | 5,314 | $21.14 | $0.00 | $42.57 |
| 87430 | Strep a ag ia | 5,277 | $10.70 | $4.22 | $16.64 |
| H0005 | Alcohol and/or drug services | 5,164 | $69.66 | $0.00 | $113.67 |
| 87591 | N.gonorrhoeae dna amp prob | 5,146 | $22.71 | $6.02 | $48.14 |
| 99392 | Prev visit est age 1-4 | 5,145 | $12.42 | $0.00 | $113.15 |
| 87491 | Chlmyd trach dna amp probe | 5,133 | $22.77 | $6.08 | $48.14 |