Connecticut Medicaid Reimbursement Rates
What Medicaid pays for medical procedures and services in Connecticut, based on 2024 claims data.
2024 Overview
Procedures
2.7K
Total Claims
43.7M
Total Paid
$2.0B
Popular Services
Procedures
Showing 1–50 of 2,659 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services | 3,262,491 | $13.47 | $0.00 | $43.71 |
| 99213 | Office o/p est low 20 min | 1,672,060 | $33.74 | $0.00 | $138.15 |
| T1502 | Medication admin visit | 1,647,334 | $56.08 | $13.13 | $80.62 |
| T1015 | Clinic service | 1,568,361 | $160.45 | $0.00 | $244.39 |
| 99214 | Office o/p est mod 30 min | 1,505,626 | $52.47 | $0.00 | $180.27 |
| J3490 | Drugs unclassified injection | 911,728 | $0.05 | $0.00 | $1,229.94 |
| 90837 | Psytx w pt 60 minutes | 804,280 | $85.85 | $0.00 | $151.87 |
| 36415 | Coll venous bld venipuncture | 623,367 | $0.95 | $0.00 | $8.48 |
| 97110 | Therapeutic exercises | 611,962 | $45.15 | $0.00 | $94.22 |
| 85025 | Complete cbc w/auto diff wbc | 603,875 | $1.62 | $0.00 | $201.84 |
| A0100 | Nonemergency transport taxi | 588,271 | $18.28 | $16.00 | $21.29 |
| S0215 | Nonemerg transp mileage | 544,704 | $20.16 | $8.55 | $25.97 |
| 90832 | Psytx w pt 30 minutes | 526,355 | $18.95 | $0.00 | $142.65 |
| 99284 | Emergency dept visit mod mdm | 452,519 | $190.79 | $0.00 | $645.32 |
| G0463 | Hospital outpt clinic visit | 418,478 | $94.91 | $0.00 | $139.73 |
| 90853 | Group psychotherapy | 349,301 | $19.94 | $0.00 | $176.67 |
| D0120 | Periodic oral evaluation | 333,745 | $26.16 | $0.00 | $34.30 |
| 99285 | Emergency dept visit hi mdm | 319,936 | $362.15 | $0.00 | $2,023.30 |
| T1004 | Nsg aide service up to 15min | 315,059 | $56.76 | $5.23 | $128.27 |
| 90834 | Psytx w pt 45 minutes | 308,170 | $43.86 | $0.00 | $124.24 |
| D1120 | Dental prophylaxis child | 301,964 | $38.58 | $0.00 | $46.30 |
| 99283 | Emergency dept visit low mdm | 292,697 | $188.12 | $0.00 | $515.67 |
| 92508 | Tx sp lang voice comm group | 285,111 | $29.06 | $16.31 | $80.60 |
| 80053 | Comprehen metabolic panel | 271,460 | $2.32 | $0.00 | $18.82 |
| 97530 | Therapeutic activities | 270,043 | $24.28 | $0.00 | $96.50 |
| 97140 | Manual therapy 1/> regions | 248,665 | $13.16 | $0.00 | $81.67 |
| 82565 | Assay of creatinine | 241,137 | $0.06 | $0.00 | $4.78 |
| 82947 | Assay glucose blood quant | 240,026 | $2.29 | $0.00 | $3.89 |
| 84520 | Assay of urea nitrogen | 239,847 | $0.01 | $0.00 | $1.92 |
| S9123 | Nursing care in home rn | 231,509 | $90.19 | $9.42 | $413.04 |
| D1208 | Topical app fluorid ex vrnsh | 216,883 | $22.61 | $0.00 | $28.42 |
| 92015 | Determine refractive state | 214,192 | $31.69 | $0.00 | $42.72 |
| 96127 | Brief emotional/behav assmt | 211,676 | $11.02 | $0.00 | $69.12 |
| 93010 | Electrocardiogram report | 209,059 | $3.54 | $0.00 | $11.05 |
| 84132 | Assay of serum potassium | 200,054 | $0.05 | $0.00 | $2.51 |
| 84295 | Assay of serum sodium | 199,555 | $0.01 | $0.00 | $0.38 |
| 82310 | Assay of calcium | 198,409 | $0.93 | $0.00 | $4.36 |
| 82374 | Assay blood carbon dioxide | 198,400 | $0.20 | $0.00 | $1.20 |
| 82435 | Assay of blood chloride | 196,973 | $0.01 | $0.00 | $0.68 |
| 92507 | Tx sp lang voice comm indiv | 195,263 | $58.83 | $0.00 | $115.26 |
| 97112 | Neuromuscular reeducation | 193,448 | $21.57 | $0.00 | $84.17 |
| 93005 | Electrocardiogram tracing | 193,393 | $2.31 | $0.00 | $18.24 |
| 99232 | Sbsq hosp ip/obs moderate 35 | 189,275 | $22.28 | $0.00 | $57.80 |
| 90460 | Im admin 1st/only component | 189,189 | $24.25 | $0.00 | $138.67 |
| 71046 | X-ray exam chest 2 views | 189,136 | $34.04 | $0.00 | $91.91 |
| A0425 | Ground mileage | 178,999 | $26.00 | $0.00 | $181.95 |
| S9124 | Nursing care, in the home; b | 176,882 | $158.36 | $3.47 | $489.65 |
| 84460 | Alanine amino (alt) (sgpt) | 171,953 | $0.05 | $0.00 | $23.67 |
| 81003 | Urinalysis auto w/o scope | 170,374 | $0.26 | $0.00 | $2.14 |
| 99309 | Sbsq nf care moderate mdm 30 | 170,031 | $17.43 | $0.00 | $92.56 |