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 101–150 of 2,659 procedures, sorted by most claims.
| HCPCS Code | Description | Total Claims | Avg Payment | Min Payment | Max Payment |
|---|---|---|---|---|---|
| Q9967 | Locm 300-399mg/ml iodine,1ml | 99,779 | $0.05 | $0.00 | $11.82 |
| 74177 | Ct abd & pelvis w/contrast | 99,004 | $114.15 | $0.00 | $390.37 |
| 99212 | Office o/p est sf 10 min | 98,040 | $17.46 | $0.00 | $88.31 |
| 87086 | Urine culture/colony count | 97,426 | $2.34 | $0.00 | $7.58 |
| 85018 | Hemoglobin | 95,592 | $0.14 | $0.00 | $3.21 |
| D0150 | Comprehensve oral evaluation | 95,191 | $39.94 | $0.00 | $71.98 |
| 82962 | Glucose blood test | 95,113 | $0.18 | $0.00 | $40.52 |
| 99204 | Office o/p new mod 45 min | 88,027 | $85.19 | $0.00 | $235.21 |
| 85610 | Prothrombin time | 83,479 | $0.61 | $0.00 | $2.32 |
| 81001 | Urinalysis auto w/scope | 81,073 | $0.64 | $0.00 | $2.98 |
| 96110 | Developmental screen w/score | 79,678 | $15.40 | $0.00 | $36.68 |
| 36416 | Collj capillary blood spec | 78,681 | $1.88 | $0.00 | $4.10 |
| 80061 | Lipid panel | 78,162 | $7.20 | $0.00 | $12.79 |
| G0378 | Hospital observation per hr | 77,949 | $1.91 | $0.00 | $334.15 |
| J7120 | Ringers lactate infusion | 75,249 | $0.00 | $0.00 | $0.43 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 75,085 | $25.12 | $0.00 | $85.04 |
| J7030 | Normal saline solution infus | 73,047 | $0.01 | $0.00 | $0.65 |
| S9480 | Intensive outpatient psychia | 72,590 | $115.11 | $0.00 | $152.14 |
| 87880 | Strep a assay w/optic | 72,505 | $6.94 | $0.00 | $15.25 |
| G2211 | Complex e/m visit add on | 72,128 | $2.30 | $0.00 | $21.24 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, | 72,017 | $44.90 | $0.00 | $153.17 |
| G0162 | Hhc rn e&m plan svs, 15 min | 71,995 | $46.63 | $0.00 | $143.16 |
| 99051 | Med serv eve/wkend/holiday | 70,308 | $6.22 | $0.00 | $28.97 |
| 97010 | Hot or cold packs therapy | 69,564 | $15.47 | $0.00 | $88.76 |
| J2704 | Inj, propofol, 10 mg | 69,355 | $0.01 | $0.00 | $0.76 |
| 90791 | Psych diagnostic evaluation | 67,225 | $89.89 | $0.00 | $954.72 |
| 92551 | Pure tone hearing test air | 66,250 | $3.81 | $0.00 | $15.20 |
| 93306 | Tte w/doppler complete | 66,208 | $123.01 | $0.00 | $541.86 |
| D2391 | Post 1 srfc resinbased cmpst | 65,958 | $65.10 | $0.00 | $93.10 |
| 90471 | Immunization admin | 65,322 | $8.75 | $0.00 | $26.28 |
| 85027 | Complete cbc automated | 65,076 | $2.01 | $0.00 | $6.18 |
| 99233 | Sbsq hosp ip/obs high 50 | 64,920 | $30.70 | $0.00 | $90.07 |
| D1351 | Dental sealant per tooth | 64,740 | $32.42 | $0.00 | $39.20 |
| J1100 | Dexamethasone sodium phos | 64,372 | $0.01 | $0.00 | $1.48 |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or | 64,280 | $20.63 | $0.00 | $118.21 |
| A7038 | Pos airway pressure filter | 64,147 | $2.15 | $0.49 | $3.89 |
| 99282 | Emergency dept visit sf mdm | 63,841 | $132.46 | $0.00 | $195.06 |
| 87651 | Strep a dna amp probe | 63,336 | $17.16 | $0.00 | $45.80 |
| A0428 | Bls | 63,179 | $88.47 | $0.00 | $281.80 |
| J3010 | Fentanyl citrate injection | 62,481 | $0.00 | $0.00 | $0.91 |
| 99173 | Visual acuity screen | 62,244 | $4.72 | $0.00 | $10.58 |
| 99231 | Sbsq hosp ip/obs sf/low 25 | 61,865 | $14.19 | $0.00 | $32.35 |
| 92004 | Compre oph exam new pt 1/> | 61,608 | $57.99 | $0.00 | $118.74 |
| 96365 | Ther/proph/diag iv inf init | 60,974 | $110.17 | $0.00 | $226.56 |
| 92250 | Fundus photography w/i&r | 60,888 | $30.19 | $0.00 | $47.23 |
| 83540 | Assay of iron | 60,405 | $2.81 | $0.00 | $13.15 |
| 82728 | Assay of ferritin | 59,502 | $6.03 | $0.00 | $33.93 |
| 87389 | Hiv-1 ag w/hiv-1&-2 ab ag ia | 59,353 | $11.99 | $0.00 | $23.00 |
| D0330 | Panoramic image | 59,128 | $50.36 | $0.00 | $85.26 |
| 94760 | N-invas ear/pls oximetry 1 | 59,040 | $1.25 | $0.00 | $1.66 |