West Virginia Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in West Virginia, based on 2024 claims data.
2024 Overview
Procedures
1.7K
Total Claims
16.6M
Total Paid
$1.1B
Popular Services
Procedures
Showing 51–100 of 1,697 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 84443 | Assay thyroid stim hormone | 65,114 | $9.39 | $0.00 | $144.74 |
| A0428 | Bls | 64,505 | $134.84 | $9.48 | $287.80 |
| 96372 | Ther/proph/diag inj sc/im | 63,312 | $8.98 | $0.00 | $179.18 |
| 97112 | Neuromuscular reeducation | 56,843 | $26.10 | $2.60 | $54.60 |
| 83036 | Hemoglobin glycosylated a1c | 56,829 | $6.53 | $0.00 | $56.26 |
| A4520 | Incontinence garment anytype | 55,679 | $97.76 | $29.01 | $179.08 |
| 83735 | Assay of magnesium | 55,402 | $4.33 | $0.00 | $50.78 |
| D1120 | Dental prophylaxis child | 55,394 | $37.82 | $0.00 | $58.57 |
| 80061 | Lipid panel | 55,168 | $9.43 | $0.00 | $82.75 |
| 87086 | Urine culture/colony count | 55,074 | $5.64 | $0.00 | $72.65 |
| D1208 | Topical app fluorid ex vrnsh | 53,505 | $19.16 | $0.00 | $28.30 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, | 52,571 | $9.29 | $1.96 | $24.85 |
| T1019 | Personal care ser per 15 min | 51,540 | $185.39 | $5.96 | $2,685.82 |
| 84484 | Assay of troponin quant | 51,445 | $8.97 | $0.00 | $127.20 |
| T1016 | Case management | 51,269 | $69.75 | $0.00 | $803.60 |
| A0429 | Bls-emergency | 48,974 | $252.91 | $84.01 | $405.61 |
| 3074F | Syst bp lt 130 mm hg | 48,900 | $0.11 | $0.00 | $8.47 |
| A0120 | Noner transport mini-bus | 48,686 | $24.52 | $0.00 | $349.81 |
| D0230 | Intraoral periapical ea add | 48,256 | $8.04 | $0.00 | $20.43 |
| S9083 | Urgent care center global | 48,141 | $90.00 | $86.01 | $96.14 |
| 97140 | Manual therapy 1/> regions | 46,510 | $20.45 | $4.02 | $82.04 |
| 70450 | Ct head/brain w/o dye | 46,112 | $40.59 | $0.01 | $545.02 |
| 80048 | Basic metabolic pnl total ca | 45,598 | $5.21 | $0.00 | $144.73 |
| 92507 | Tx sp lang voice comm indiv | 45,277 | $43.12 | $0.00 | $225.92 |
| 83605 | Assay of lactic acid | 45,216 | $8.78 | $0.05 | $89.08 |
| 81003 | Urinalysis auto w/o scope | 44,719 | $1.37 | $0.00 | $16.18 |
| D1351 | Dental sealant per tooth | 44,223 | $29.58 | $0.00 | $35.83 |
| 3078F | Diast bp <80 mm hg | 44,107 | $0.11 | $0.00 | $7.53 |
| 87428 | Sarscov & inf vir a&b ag ia | 41,424 | $18.87 | $0.00 | $91.00 |
| 90834 | Psytx w pt 45 minutes | 40,955 | $39.98 | $0.00 | $132.91 |
| 3008F | Body mass index docd | 40,740 | $0.00 | $0.00 | $0.21 |
| S5130 | Homaker service nos per 15m | 40,572 | $286.35 | $0.00 | $2,710.99 |
| 74177 | Ct abd & pelvis w/contrast | 40,504 | $76.05 | $4.44 | $912.53 |
| 88305 | Tissue exam by pathologist | 40,379 | $32.92 | $0.00 | $341.16 |
| 96374 | Ther/proph/diag inj iv push | 39,796 | $19.06 | $0.00 | $236.02 |
| 83690 | Assay of lipase | 39,535 | $4.88 | $0.07 | $86.17 |
| D1110 | Dental prophylaxis adult | 38,722 | $50.67 | $0.00 | $64.66 |
| D0220 | Intraoral periapical first | 37,783 | $13.48 | $0.00 | $22.29 |
| D0140 | Limit oral eval problm focus | 37,555 | $33.68 | $0.00 | $56.01 |
| 81025 | Urine pregnancy test | 37,258 | $5.92 | $0.00 | $28.45 |
| 85610 | Prothrombin time | 36,442 | $2.69 | $0.00 | $30.50 |
| Q3014 | Telehealth facility fee | 36,265 | $24.57 | $0.00 | $31.96 |
| 85027 | Complete cbc automated | 36,012 | $3.21 | $0.00 | $39.48 |
| 87651 | Strep a dna amp probe | 35,921 | $26.19 | $0.00 | $159.18 |
| 90472 | Immunization admin each add | 35,859 | $13.88 | $0.00 | $63.52 |
| 96110 | Developmental screen w/score | 35,797 | $8.11 | $0.00 | $106.16 |
| T1017 | Targeted case management | 35,604 | $30.84 | $0.00 | $121.34 |
| A4554 | Disposable underpads | 35,401 | $16.49 | $9.60 | $44.09 |
| 99309 | Sbsq nf care moderate mdm 30 | 34,961 | $18.08 | $0.00 | $68.96 |
| J2405 | Ondansetron hcl injection | 34,572 | $0.21 | $0.00 | $4.26 |