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 101–150 of 1,697 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 96375 | Tx/pro/dx inj new drug addon | 34,531 | $10.48 | $-6.77 | $158.95 |
| 90853 | Group psychotherapy | 33,842 | $16.97 | $0.00 | $29.80 |
| 87811 | Sars-cov-2 covid19 w/optic | 33,602 | $22.39 | $0.00 | $42.48 |
| A0427 | Als1-emergency | 33,319 | $278.08 | $105.25 | $461.38 |
| H0031 | Mh health assess by non-md | 32,622 | $144.01 | $0.00 | $248.40 |
| 96127 | Brief emotional/behav assmt | 32,118 | $2.22 | $0.00 | $83.72 |
| G2211 | Complex e/m visit add on | 32,056 | $0.95 | $0.00 | $11.83 |
| 99392 | Prev visit est age 1-4 | 32,017 | $47.90 | $0.00 | $95.74 |
| 87637 | Sarscov2&inf a&b&rsv amp prb | 32,014 | $104.17 | $0.00 | $231.83 |
| 99215 | Office o/p est hi 40 min | 30,773 | $85.34 | $0.00 | $436.63 |
| 99233 | Sbsq hosp ip/obs high 50 | 29,935 | $70.52 | $0.00 | $320.50 |
| 1160F | Rvw meds by rx/dr in rcrd | 29,728 | $0.00 | $0.00 | $0.00 |
| 87389 | Hiv-1 ag w/hiv-1&-2 ab ag ia | 29,209 | $24.44 | $0.00 | $41.91 |
| 98941 | Chiropract manj 3-4 regions | 28,549 | $23.71 | $0.00 | $33.29 |
| 99231 | Sbsq hosp ip/obs sf/low 25 | 28,329 | $30.44 | $0.00 | $76.12 |
| G0463 | Hospital outpt clinic visit | 28,178 | $22.20 | $0.00 | $145.33 |
| J2704 | Inj, propofol, 10 mg | 28,149 | $1.42 | $0.00 | $13.88 |
| A4657 | Syringe w/wo needle | 28,079 | $0.00 | $0.00 | $0.10 |
| 99222 | 1st hosp ip/obs moderate 55 | 27,953 | $80.77 | $2.64 | $102.85 |
| 99391 | Per pm reeval est pat infant | 27,784 | $42.85 | $0.00 | $116.88 |
| D0330 | Panoramic image | 27,576 | $51.04 | $0.00 | $80.45 |
| H2015 | Comp comm supp svc, 15 min | 27,250 | $43.69 | $0.00 | $65.25 |
| J1885 | Ketorolac tromethamine inj | 27,058 | $0.82 | $0.00 | $14.87 |
| 99393 | Prev visit est age 5-11 | 27,029 | $48.26 | $0.00 | $105.18 |
| J1100 | Dexamethasone sodium phos | 26,646 | $0.56 | $0.00 | $19.45 |
| 82306 | Vitamin d 25 hydroxy | 26,471 | $15.97 | $0.00 | $116.52 |
| 95117 | Immunotherapy injections | 26,082 | $7.02 | $0.00 | $13.53 |
| 81002 | Urinalysis nonauto w/o scope | 25,231 | $2.12 | $0.00 | $16.30 |
| 93306 | Tte w/doppler complete | 24,930 | $53.28 | $0.00 | $415.56 |
| A7038 | Pos airway pressure filter | 24,888 | $3.45 | $1.30 | $6.46 |
| D1206 | Topical fluoride varnish | 24,730 | $19.18 | $0.00 | $25.26 |
| 92551 | Pure tone hearing test air | 24,599 | $5.10 | $0.00 | $16.66 |
| T1003 | Lpn/lvn services up to 15min | 24,263 | $70.20 | $9.20 | $678.12 |
| 92015 | Determine refractive state | 24,203 | $9.21 | $0.00 | $14.24 |
| 82075 | Assay of breath ethanol | 24,197 | $15.52 | $0.00 | $27.00 |
| D7140 | Extraction erupted tooth/exr | 23,592 | $70.72 | $0.00 | $105.85 |
| 90935 | Hemodialysis one evaluation | 23,170 | $29.37 | $3.73 | $91.65 |
| V2020 | Vision svcs frames purchases | 23,052 | $56.70 | $15.69 | $103.72 |
| 99282 | Emergency dept visit sf mdm | 22,414 | $40.49 | $4.34 | $186.73 |
| 74176 | Ct abd & pelvis w/o contrast | 22,204 | $81.50 | $0.00 | $920.12 |
| 1159F | Med list docd in rcrd | 21,995 | $0.00 | $0.00 | $0.00 |
| 73630 | X-ray exam of foot | 21,597 | $8.98 | $0.00 | $137.82 |
| S5161 | Emer rspns sys serv permonth | 21,456 | $49.31 | $26.22 | $50.00 |
| D0150 | Comprehensve oral evaluation | 20,891 | $30.92 | $0.00 | $48.69 |
| G0467 | Fqhc visit, estab pt | 20,524 | $0.20 | $0.00 | $26.51 |
| G0482 | Drug test def 15-21 classes | 20,288 | $68.84 | $12.61 | $140.69 |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 20,268 | $3.78 | $0.00 | $59.79 |
| 1036F | Tobacco non-user | 20,183 | $0.00 | $0.00 | $0.00 |
| 92014 | Compre oph exam est pt 1/> | 20,116 | $72.93 | $0.00 | $105.56 |
| D0274 | Bitewings four images | 20,004 | $32.65 | $0.00 | $40.70 |