The intent of this report is to understand the volume of members with recorded Z codes to identify health-related social needs in the Colorado All Claims Database (CO APCD) from 2016-2022. This analysis explores the volume and percentage of these members with claims by year, payer type, and by claim type for all payers (Medicaid, Medicare, and commercial payers). Z Codes, which are codes that identify non-medical factors that may influence a patient’s health status were evaluated for this analysis. Z codes became available for providers to use in 2016.