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 101–150 of 705 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| A7031 | Replacement facemask interfa | 5,006 | $53.10 | $20.68 | $113.01 |
| 98942 | Chiropractic manj 5 regions | 4,801 | $36.35 | $16.03 | $44.21 |
| 74177 | Ct abd & pelvis w/contrast | 4,656 | $33.83 | $0.00 | $559.47 |
| A7030 | Cpap full face mask | 4,635 | $91.92 | $57.06 | $149.88 |
| H0046 | Mental health service, nos | 4,500 | $1,034.06 | $0.00 | $1,924.43 |
| S9445 | Pt education noc individ | 4,363 | $0.00 | $0.00 | $0.00 |
| 85025 | Complete cbc w/auto diff wbc | 4,163 | $6.05 | $0.00 | $132.34 |
| 70450 | Ct head/brain w/o dye | 4,110 | $14.40 | $0.00 | $74.15 |
| T1002 | Rn services up to 15 minutes | 4,110 | $0.00 | $0.00 | $0.00 |
| H2019 | Ther behav svc, per 15 min | 3,882 | $86.48 | $0.00 | $154.73 |
| 90472 | Immunization admin each add | 3,794 | $5.31 | $0.00 | $18.66 |
| A7035 | Pos airway press headgear | 3,754 | $24.41 | $0.00 | $50.06 |
| 99173 | Visual acuity screen | 3,744 | $0.32 | $0.00 | $2.78 |
| 80053 | Comprehen metabolic panel | 3,708 | $18.05 | $0.00 | $421.36 |
| 99391 | Per pm reeval est pat infant | 3,704 | $21.37 | $0.00 | $106.39 |
| D7210 | Rem imp tooth w mucoper flp | 3,663 | $168.43 | $72.10 | $216.75 |
| A0428 | Bls | 3,645 | $138.31 | $61.28 | $264.89 |
| 90461 | Im admin each addl component | 3,485 | $3.34 | $0.00 | $31.43 |
| 92004 | Compre oph exam new pt 1/> | 3,475 | $106.38 | $0.00 | $132.70 |
| D0210 | Intraor comprehensive series | 3,417 | $86.54 | $3.74 | $105.61 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, | 3,369 | $19.50 | $10.53 | $55.24 |
| D9230 | Analgesia | 3,247 | $63.86 | $32.20 | $69.00 |
| 93306 | Tte w/doppler complete | 3,245 | $13.82 | $0.00 | $44.16 |
| 96161 | Caregiver health risk assmt | 3,203 | $0.09 | $0.00 | $2.53 |
| T2022 | Case management, per month | 3,171 | $221.89 | $96.68 | $266.70 |
| 97153 | Adaptive behavior tx by tech | 3,087 | $0.38 | $0.00 | $3.24 |
| 99233 | Sbsq hosp ip/obs high 50 | 3,059 | $37.33 | $0.00 | $98.77 |
| 90999 | Unlisted dialysis procedure | 2,979 | $0.00 | $0.00 | $0.00 |
| T1022 | Contracted services per day | 2,945 | $0.00 | $0.00 | $0.00 |
| 77067 | Scr mammo bi incl cad | 2,907 | $17.54 | $0.00 | $214.90 |
| D4346 | Scaling gingiv inflammation | 2,890 | $67.46 | $37.75 | $76.50 |
| H0015 | Alcohol and/or drug services | 2,862 | $133.85 | $0.00 | $163.43 |
| 77063 | Breast tomosynthesis bi | 2,845 | $11.95 | $0.00 | $29.16 |
| H2032 | Activity therapy, per 15 min | 2,746 | $0.00 | $0.00 | $0.00 |
| A7046 | Repl water chamber, pap dev | 2,736 | $13.65 | $6.95 | $31.73 |
| S9480 | Intensive outpatient psychia | 2,726 | $260.04 | $211.15 | $305.00 |
| 92567 | Tympanometry | 2,718 | $4.39 | $0.00 | $12.96 |
| 81003 | Urinalysis auto w/o scope | 2,716 | $1.88 | $0.00 | $15.95 |
| 87400 | Influenza a/b each ag ia | 2,673 | $7.45 | $5.79 | $13.99 |
| S0215 | Nonemerg transp mileage | 2,603 | $0.00 | $0.00 | $0.00 |
| 90833 | Psytx w pt w e/m 30 min | 2,599 | $28.70 | $0.00 | $61.12 |
| 99309 | Sbsq nf care moderate mdm 30 | 2,565 | $10.67 | $0.00 | $58.93 |
| 92340 | Fit spectacles monofocal | 2,518 | $28.38 | $17.22 | $30.24 |
| 96110 | Developmental screen w/score | 2,482 | $2.75 | $0.00 | $11.85 |
| 90791 | Psych diagnostic evaluation | 2,463 | $35.44 | $0.00 | $118.63 |
| 99231 | Sbsq hosp ip/obs sf/low 25 | 2,457 | $15.62 | $0.00 | $35.65 |
| E1392 | Portable oxygen concentrator, rental | 2,455 | $26.91 | $11.52 | $82.27 |
| 96160 | Pt-focused hlth risk assmt | 2,451 | $0.71 | $0.00 | $5.53 |
| 90480 | Admn sarscov2 vac 1/only cmp | 2,366 | $28.89 | $0.00 | $40.00 |
| 99394 | Prev visit est age 12-17 | 2,340 | $11.42 | $0.00 | $123.18 |