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 51–100 of 2,144 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 141,773 | $75.53 | $0.00 | $95.09 |
| 92015 | Determine refractive state | 140,821 | $2.29 | $0.00 | $40.59 |
| 92340 | Fit spectacles monofocal | 139,751 | $24.79 | $0.00 | $31.51 |
| 93010 | Electrocardiogram report | 133,392 | $6.95 | $0.00 | $15.85 |
| G8510 | Scr dep neg, no plan reqd | 132,672 | $3.71 | $0.00 | $225.15 |
| G0156 | Hhcp-svs of aide,ea 15 min | 126,788 | $27.71 | $0.00 | $81.93 |
| T2024 | Serv asmnt/care plan waiver | 124,911 | $82.14 | $0.00 | $545.00 |
| 97140 | Manual therapy 1/> regions | 117,351 | $27.04 | $0.00 | $108.26 |
| 83036 | Hemoglobin glycosylated a1c | 115,914 | $7.02 | $0.00 | $89.45 |
| A4927 | Non-sterile gloves | 115,299 | $29.61 | $3.88 | $107.11 |
| V2020 | Vision svcs frames purchases | 113,675 | $62.04 | $0.00 | $101.79 |
| 96127 | Brief emotional/behav assmt | 111,912 | $9.69 | $0.00 | $456.90 |
| H0005 | Alcohol and/or drug services | 111,726 | $67.73 | $0.00 | $462.79 |
| H2019 | Ther behav svc, per 15 min | 108,969 | $96.00 | $0.00 | $581.91 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 107,693 | $47.78 | $0.00 | $96.02 |
| 90471 | Immunization admin | 106,870 | $13.10 | $0.00 | $286.73 |
| 80048 | Basic metabolic pnl total ca | 106,167 | $2.03 | $0.00 | $73.05 |
| 90834 | Psytx w pt 45 minutes | 104,366 | $127.93 | $0.00 | $672.11 |
| 92014 | Compre oph exam est pt 1/> | 104,327 | $103.54 | $0.00 | $623.13 |
| D0274 | Bitewings four images | 104,106 | $30.34 | $0.00 | $47.74 |
| G0483 | Drug test def 22+ classes | 103,854 | $179.81 | $0.00 | $234.62 |
| 90460 | Im admin 1st/only component | 102,173 | $36.93 | $0.00 | $411.92 |
| 80061 | Lipid panel | 102,121 | $10.31 | $0.00 | $34.46 |
| 90833 | Psytx w pt w e/m 30 min | 101,600 | $54.09 | $0.00 | $215.53 |
| V2750 | Anti-reflective coating | 101,484 | $33.05 | $0.00 | $52.32 |
| T2019 | Habil sup empl waiver 15min | 99,578 | $256.74 | $0.00 | $3,021.68 |
| 96374 | Ther/proph/diag inj iv push | 98,636 | $0.97 | $0.00 | $49.51 |
| 80305 | Drug test prsmv dir opt obs | 96,648 | $8.73 | $0.00 | $13.38 |
| A4554 | Disposable underpads | 95,983 | $55.18 | $11.97 | $81.19 |
| V2410 | Lens variab asphericity sing | 92,929 | $169.69 | $0.00 | $234.50 |
| D2392 | Post 2 srfc resinbased cmpst | 91,788 | $131.17 | $0.00 | $152.75 |
| 3074F | Syst bp lt 130 mm hg | 91,778 | $0.01 | $0.00 | $15.50 |
| A4556 | Electrodes, pair | 90,350 | $41.14 | $27.70 | $63.91 |
| 96110 | Developmental screen w/score | 89,720 | $50.04 | $0.00 | $456.90 |
| S5161 | Emer rspns sys serv permonth | 88,160 | $40.04 | $0.00 | $94.92 |
| D0272 | Dental bitewings two images | 86,002 | $21.87 | $0.00 | $28.56 |
| H0023 | Alcohol and/or drug outreach | 85,864 | $81.10 | $0.00 | $447.36 |
| 85027 | Complete cbc automated | 85,396 | $1.66 | $0.00 | $26.61 |
| D0150 | Comprehensve oral evaluation | 85,202 | $47.57 | $0.00 | $81.00 |
| A6250 | Skin seal protect moisturizr | 81,140 | $52.13 | $1.17 | $177.15 |
| 99233 | Sbsq hosp ip/obs high 50 | 80,557 | $72.42 | $0.00 | $139.68 |
| A0429 | Bls-emergency | 79,932 | $255.61 | $0.00 | $461.12 |
| 99309 | Sbsq nf care moderate mdm 30 | 79,705 | $25.60 | $0.00 | $136.30 |
| H2036 | A/d tx program, per diem | 79,167 | $287.24 | $0.00 | $1,201.40 |
| 93005 | Electrocardiogram tracing | 79,068 | $3.16 | $0.00 | $233.25 |
| S0209 | Wc van mileage per mi | 78,372 | $4.55 | $0.00 | $14.13 |
| A0427 | Als1-emergency | 73,376 | $278.70 | $0.00 | $547.58 |
| D0999 | Unspecified diagnostic proce | 73,370 | $342.82 | $217.89 | $719.00 |
| 99212 | Office o/p est sf 10 min | 73,312 | $117.45 | $0.00 | $719.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 71,909 | $58.13 | $0.00 | $81.67 |