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 101–150 of 2,144 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| S5105 | Centerbased day care perdiem | 70,200 | $645.20 | $46.60 | $2,393.74 |
| 3078F | Diast bp <80 mm hg | 69,135 | $0.00 | $0.00 | $0.00 |
| 80307 | Drug test prsmv chem anlyzr | 68,495 | $42.12 | $0.00 | $170.91 |
| A4630 | Repl bat t.e.n.s. own by pt | 67,791 | $4.30 | $0.00 | $7.67 |
| 74177 | Ct abd & pelvis w/contrast | 67,495 | $70.78 | $0.00 | $515.06 |
| T2001 | N-et; patient attend/escort | 66,819 | $8.29 | $0.00 | $93.92 |
| A4595 | Tens suppl 2 lead per month | 66,765 | $13.89 | $0.34 | $29.45 |
| 97155 | Adapt behavior tx phys/qhp | 66,462 | $232.26 | $0.00 | $3,011.36 |
| A7038 | Pos airway pressure filter | 65,584 | $3.69 | $0.00 | $8.62 |
| 84443 | Assay thyroid stim hormone | 63,918 | $12.03 | $0.00 | $79.92 |
| D0350 | Oral/facial photo images | 61,435 | $92.64 | $0.00 | $343.49 |
| 92004 | Compre oph exam new pt 1/> | 61,374 | $113.71 | $0.00 | $167.33 |
| 99204 | Office o/p new mod 45 min | 61,349 | $109.80 | $0.00 | $366.03 |
| S9128 | Speech therapy, in the home, | 59,787 | $145.45 | $1.73 | $155.48 |
| 3008F | Body mass index docd | 59,311 | $0.02 | $0.00 | $8.78 |
| 70450 | Ct head/brain w/o dye | 58,273 | $43.35 | $0.00 | $384.91 |
| 82075 | Assay of breath ethanol | 56,559 | $21.81 | $0.00 | $865.21 |
| 88305 | Tissue exam by pathologist | 56,029 | $49.97 | $0.00 | $486.00 |
| 71046 | X-ray exam chest 2 views | 55,472 | $15.31 | $0.00 | $465.97 |
| T2005 | N-et; stretcher van | 54,254 | $138.04 | $58.62 | $494.58 |
| D1351 | Dental sealant per tooth | 54,174 | $44.80 | $0.00 | $57.10 |
| K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable | 53,423 | $25.13 | $0.00 | $51.25 |
| 99391 | Per pm reeval est pat infant | 53,066 | $109.12 | $0.00 | $421.75 |
| 94760 | N-invas ear/pls oximetry 1 | 53,015 | $2.24 | $0.00 | $57.06 |
| E1392 | Portable oxygen concentrator, rental | 52,854 | $28.90 | $0.00 | $320.00 |
| 99203 | Office o/p new low 30 min | 52,608 | $91.56 | $0.00 | $386.68 |
| D0140 | Limit oral eval problm focus | 52,367 | $40.14 | $0.00 | $55.55 |
| T2031 | Assist living waiver/diem | 52,294 | $932.40 | $0.00 | $3,512.73 |
| 97533 | Sensory integration | 51,859 | $86.19 | $0.00 | $229.44 |
| 90832 | Psytx w pt 30 minutes | 51,577 | $109.73 | $0.00 | $462.79 |
| 87591 | N.gonorrhoeae dna amp prob | 51,207 | $23.54 | $0.00 | $38.74 |
| 87491 | Chlmyd trach dna amp probe | 51,179 | $27.03 | $0.00 | $45.38 |
| 82306 | Vitamin d 25 hydroxy | 50,863 | $23.52 | $0.00 | $159.72 |
| T4535 | Disposable liner/shield/pad | 50,012 | $64.04 | $10.80 | $117.60 |
| 87086 | Urine culture/colony count | 49,374 | $6.38 | $0.00 | $20.63 |
| 80050 | General health panel | 49,051 | $31.88 | $0.00 | $35.96 |
| D2740 | Crown porcelain/ceramic | 48,886 | $712.17 | $143.25 | $912.63 |
| 81003 | Urinalysis auto w/o scope | 47,738 | $0.94 | $0.00 | $17.56 |
| D0330 | Panoramic image | 47,585 | $52.98 | $0.00 | $73.70 |
| H0002 | Alcohol and/or drug screenin | 47,396 | $94.53 | $0.00 | $462.79 |
| D9230 | Analgesia | 45,787 | $32.33 | $0.00 | $35.92 |
| 81001 | Urinalysis auto w/scope | 45,598 | $1.29 | $0.00 | $39.15 |
| S5151 | Unskilled respitecare /diem | 45,068 | $82.32 | $5.58 | $1,772.01 |
| 90785 | Psytx complex interactive | 44,566 | $5.80 | $0.00 | $27.22 |
| D2391 | Post 1 srfc resinbased cmpst | 44,483 | $102.74 | $0.00 | $117.58 |
| G0299 | Hhs/hospice of rn ea 15 min | 44,099 | $90.88 | $0.00 | $156.48 |
| 99392 | Prev visit est age 1-4 | 43,730 | $94.07 | $0.00 | $357.39 |
| H0006 | Alcohol and/or drug services | 43,665 | $31.21 | $0.00 | $271.01 |
| D2950 | Core build-up incl any pins | 43,049 | $132.46 | $51.32 | $150.96 |
| G0176 | Opps/php/iop; activity thrpy | 42,602 | $86.57 | $25.70 | $369.77 |