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 51–100 of 2,659 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| 84450 | Transferase (ast) (sgot) | 168,944 | $0.06 | $0.00 | $24.61 |
| 84075 | Assay alkaline phosphatase | 166,524 | $0.01 | $0.00 | $1.52 |
| 82247 | Bilirubin total | 165,692 | $1.24 | $0.00 | $4.33 |
| H2036 | A/d tx program, per diem | 163,183 | $331.00 | $0.00 | $6,873.56 |
| 71045 | X-ray exam chest 1 view | 154,838 | $15.39 | $0.00 | $91.15 |
| D1206 | Topical fluoride varnish | 149,513 | $22.54 | $0.00 | $34.63 |
| 82040 | Assay of serum albumin | 149,128 | $0.83 | $0.00 | $3.48 |
| D0220 | Intraoral periapical first | 147,917 | $11.57 | $0.00 | $18.62 |
| 83036 | Hemoglobin glycosylated a1c | 146,706 | $4.74 | $0.00 | $45.49 |
| 92014 | Compre oph exam est pt 1/> | 145,350 | $37.92 | $0.00 | $145.50 |
| 84155 | Assay of protein serum | 144,670 | $0.01 | $0.00 | $1.62 |
| 83735 | Assay of magnesium | 139,810 | $0.51 | $0.00 | $6.40 |
| D0274 | Bitewings four images | 138,392 | $30.39 | $0.00 | $47.04 |
| 96374 | Ther/proph/diag inj iv push | 137,167 | $138.95 | $0.00 | $216.26 |
| 88305 | Tissue exam by pathologist | 135,059 | $38.57 | $0.00 | $219.02 |
| H0015 | Alcohol and/or drug services | 134,922 | $131.76 | $0.00 | $177.04 |
| 3074F | Syst bp lt 130 mm hg | 134,868 | $0.00 | $0.00 | $0.00 |
| V2020 | Vision svcs frames purchases | 134,517 | $25.44 | $0.00 | $38.19 |
| D1110 | Dental prophylaxis adult | 128,335 | $29.92 | $0.00 | $75.00 |
| 84443 | Assay thyroid stim hormone | 127,065 | $8.68 | $0.00 | $43.38 |
| 99203 | Office o/p new low 30 min | 126,392 | $56.05 | $0.00 | $157.31 |
| D0140 | Limit oral eval problm focus | 126,361 | $27.68 | $0.00 | $58.34 |
| 80048 | Basic metabolic pnl total ca | 122,409 | $0.97 | $0.00 | $10.80 |
| D0230 | Intraoral periapical ea add | 122,013 | $10.21 | $0.00 | $16.66 |
| A0090 | Interest escort in non er | 121,933 | $17.41 | $16.79 | $21.94 |
| 84484 | Assay of troponin quant | 121,549 | $0.05 | $0.00 | $4.39 |
| A0429 | Bls-emergency | 121,212 | $205.24 | $0.00 | $359.58 |
| 3078F | Diast bp <80 mm hg | 117,706 | $0.00 | $0.00 | $0.00 |
| D8670 | Periodic orthodontc tx visit | 116,825 | $56.09 | $0.00 | $1,424.52 |
| 1160F | Rvw meds by rx/dr in rcrd | 116,771 | $0.00 | $0.00 | $0.00 |
| 99308 | Sbsq nf care low mdm 20 | 116,203 | $13.59 | $0.00 | $70.42 |
| J2405 | Ondansetron hcl injection | 114,847 | $0.00 | $0.00 | $0.29 |
| 90999 | Unlisted dialysis procedure | 113,629 | $24.43 | $0.00 | $139.25 |
| 96372 | Ther/proph/diag inj sc/im | 110,691 | $18.24 | $0.00 | $558.39 |
| 1159F | Med list docd in rcrd | 109,243 | $0.00 | $0.00 | $0.00 |
| 80307 | Drug test prsmv chem anlyzr | 108,198 | $19.21 | $0.00 | $49.17 |
| J1885 | Ketorolac tromethamine inj | 107,895 | $0.00 | $0.00 | $1.59 |
| D2392 | Post 2 srfc resinbased cmpst | 107,735 | $83.10 | $0.00 | $111.72 |
| 96375 | Tx/pro/dx inj new drug addon | 107,347 | $44.07 | $0.00 | $93.72 |
| 81025 | Urine pregnancy test | 106,006 | $1.53 | $0.00 | $11.75 |
| 70450 | Ct head/brain w/o dye | 105,719 | $44.94 | $0.00 | $233.19 |
| 83690 | Assay of lipase | 105,329 | $0.19 | $0.00 | $4.85 |
| 1036F | Tobacco non-user | 103,348 | $0.00 | $0.00 | $0.00 |
| 93000 | Electrocardiogram complete | 103,023 | $7.87 | $0.00 | $86.14 |
| 87491 | Chlmyd trach dna amp probe | 102,907 | $26.31 | $0.00 | $69.41 |
| 87591 | N.gonorrhoeae dna amp prob | 102,336 | $26.45 | $0.00 | $69.41 |
| 96361 | Hydrate iv infusion add-on | 102,159 | $53.65 | $0.00 | $337.24 |
| 92340 | Fit spectacles monofocal | 101,802 | $20.38 | $0.00 | $30.80 |
| 99215 | Office o/p est hi 40 min | 101,305 | $69.78 | $0.00 | $192.86 |
| 3008F | Body mass index docd | 100,241 | $0.00 | $0.00 | $0.00 |