Colorado Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Colorado, based on 2024 claims data.
2024 Overview
Procedures
2.1K
Total Claims
51.4M
Total Paid
$4.0B
Popular Services
Procedures
Showing 1–50 of 2,144 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| A0100 | Nonemergency transport taxi | 6,551,077 | $29.70 | $0.00 | $579.64 |
| A0120 | Noner transport mini-bus | 2,515,211 | $45.11 | $0.00 | $663.78 |
| T1019 | Personal care ser per 15 min | 2,072,815 | $203.25 | $0.00 | $3,782.23 |
| A0130 | Noner transport wheelch van | 1,725,574 | $54.70 | $0.00 | $624.39 |
| T2016 | Habil res waiver per diem | 1,714,733 | $270.03 | $33.41 | $11,280.28 |
| S5130 | Homaker service nos per 15m | 1,706,326 | $65.94 | $0.00 | $2,241.87 |
| A0425 | Ground mileage | 1,631,282 | $33.00 | $0.00 | $859.13 |
| A0090 | Interest escort in non er | 1,571,665 | $25.10 | $24.25 | $30.59 |
| H0038 | Self-help/peer svc per 15min | 1,377,562 | $245.47 | $0.00 | $5,252.59 |
| A0110 | Nonemergency transport bus | 1,240,061 | $3.37 | $0.00 | $43.88 |
| T2003 | N-et; encounter/trip | 1,222,733 | $33.59 | $0.00 | $1,279.49 |
| 99214 | Office o/p est mod 30 min | 1,070,868 | $95.07 | $0.00 | $680.43 |
| H0020 | Alcohol and/or drug services | 988,231 | $17.02 | $0.00 | $400.00 |
| 99213 | Office o/p est low 20 min | 949,980 | $100.33 | $0.00 | $719.00 |
| T2021 | Day habil waiver per 15 min | 721,809 | $173.82 | $0.00 | $3,176.14 |
| H2021 | Com wrap-around sv, 15 min | 675,064 | $63.34 | $0.00 | $2,193.93 |
| 90837 | Psytx w pt 60 minutes | 668,801 | $110.75 | $0.00 | $574.65 |
| S0215 | Nonemerg transp mileage | 668,637 | $4.10 | $0.00 | $12.82 |
| 97530 | Therapeutic activities | 499,524 | $53.64 | $0.00 | $167.25 |
| T2023 | Targeted case mgmt per month | 480,223 | $134.60 | $0.00 | $156.28 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 374,599 | $61.28 | $0.00 | $183.94 |
| 99284 | Emergency dept visit mod mdm | 360,260 | $117.49 | $0.00 | $909.00 |
| J3490 | Drugs unclassified injection | 344,106 | $0.16 | $0.00 | $97.16 |
| D0120 | Periodic oral evaluation | 335,557 | $29.89 | $0.00 | $66.00 |
| 92507 | Tx sp lang voice comm indiv | 331,327 | $44.40 | $0.00 | $369.60 |
| 85025 | Complete cbc w/auto diff wbc | 311,100 | $2.74 | $0.00 | $126.49 |
| D1206 | Topical fluoride varnish | 303,794 | $28.42 | $0.00 | $51.00 |
| T2004 | N-et; commerc carrier pass | 295,118 | $4.89 | $0.00 | $278.88 |
| A0428 | Bls | 292,722 | $137.71 | $0.00 | $1,167.99 |
| 97110 | Therapeutic exercises | 268,757 | $30.25 | $0.00 | $143.77 |
| 99283 | Emergency dept visit low mdm | 254,328 | $153.82 | $0.00 | $743.12 |
| 80053 | Comprehen metabolic panel | 233,233 | $4.44 | $0.00 | $215.11 |
| D0220 | Intraoral periapical first | 231,686 | $12.66 | $0.00 | $23.02 |
| 99285 | Emergency dept visit hi mdm | 208,328 | $146.79 | $0.00 | $806.28 |
| S5150 | Unskilled respite care /15m | 205,286 | $95.74 | $27.95 | $1,558.15 |
| D1120 | Dental prophylaxis child | 196,336 | $50.69 | $0.00 | $73.04 |
| T1017 | Targeted case management | 193,773 | $95.94 | $0.00 | $1,646.34 |
| 97112 | Neuromuscular reeducation | 190,441 | $34.76 | $0.00 | $130.11 |
| H0004 | Alcohol and/or drug services | 187,061 | $73.72 | $0.00 | $1,265.69 |
| 71045 | X-ray exam chest 1 view | 185,606 | $7.60 | $0.00 | $57.80 |
| 92508 | Tx sp lang voice comm group | 184,308 | $1.09 | $0.00 | $20.79 |
| 36415 | Coll venous bld venipuncture | 179,624 | $1.61 | $0.00 | $116.39 |
| 97153 | Adaptive behavior tx by tech | 178,473 | $370.70 | $0.00 | $6,408.57 |
| S9122 | Home health aide or certifie | 171,701 | $117.74 | $0.00 | $153.44 |
| D1110 | Dental prophylaxis adult | 170,555 | $67.36 | $0.00 | $127.00 |
| H2014 | Skills train and dev, 15 min | 156,267 | $151.32 | $0.00 | $2,214.04 |
| S5125 | Attendant care service /15m | 155,874 | $0.00 | $0.00 | $0.00 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, | 147,920 | $12.50 | $0.00 | $34.78 |
| D0230 | Intraoral periapical ea add | 147,658 | $22.02 | $0.00 | $66.05 |
| 99215 | Office o/p est hi 40 min | 145,620 | $118.41 | $0.00 | $658.46 |