Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

Billing Codes in Alaska

All 1,714 procedure codes billed by Medicaid providers in Alaska, ranked by total spending.

#CodeDescriptionTotal Paid
1 99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $506.89M
2 T2016 Habilitation, residential, waiver; per diem $402.89M
3 T2017 Habilitation, residential, waiver; 15 minutes $221.85M
4 T2021 Day habilitation, waiver; per 15 minutes $210.85M
5 99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $202.46M
6 T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) $180.51M
7 A0140 Non-emergency transportation and air travel (private or commercial) intra or inter state $178.31M
8 T2031 Assisted living; waiver, per diem $146.10M
9 99284 Emergency department visit for the evaluation and management, high severity $145.80M
10 H0047 Alcohol and/or other drug abuse services, not otherwise specified $132.08M
11 H2019 Therapeutic behavioral services, per 15 minutes $118.73M
12 87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe $118.26M
13 99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life $116.52M
14 H2015 Comprehensive community support services, per 15 minutes $115.90M
15 99283 Emergency department visit for the evaluation and management, moderate severity $114.15M
16 S5125 Attendant care services; per 15 minutes $112.83M
17 H2021 Community-based wrap-around services, per 15 minutes $101.40M
18 H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem $92.78M
19 99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity $92.64M
20 90837 Psychotherapy, 53 minutes with patient $91.64M
21 T2022 Case management, per month $89.51M
22 H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) $83.77M
23 97530 Therapeutic activities, direct patient contact, each 15 minutes $76.95M
24 S5150 Unskilled respite care, not hospice; per 15 minutes $74.43M
25 A0435 Fixed wing air mileage, per statute mile $57.50M
26 80053 Comprehensive metabolic panel $57.23M
27 T1016 Case management, each 15 minutes $53.36M
28 A0430 Ambulance service, conventional air services, transport, one way (fixed wing) $53.18M
29 H0033 Oral medication administration, direct observation $42.12M
30 74177 Computed tomography, abdomen and pelvis; with contrast material $37.35M
31 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder $36.69M
32 H2017 Psychosocial rehabilitation services, per 15 minutes $36.64M
33 97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion $34.82M
34 T2019 Habilitation, supported employment, waiver; per 15 minutes $34.21M
35 G0463 Hospital outpatient clinic visit for assessment and management of a patient $33.98M
36 D1206 Topical application of fluoride varnish $33.82M
37 92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient $32.40M
38 90834 Psychotherapy, 45 minutes with patient $31.77M
39 99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward $31.72M
40 D0140 Limited oral evaluation - problem focused $31.69M
41 99282 Emergency department visit for the evaluation and management, low to moderate severity $31.33M
42 S9484 Crisis intervention mental health services, per hour $31.25M
43 S5101 Day care services, adult; per half day $29.76M
44 G0378 Hospital observation service, per hour $28.28M
45 D0220 Intraoral - periapical first radiographic image $28.21M
46 H2020 Therapeutic behavioral services, per diem $27.93M
47 T2033 Residential care, not otherwise specified (nos), waiver; per diem $27.14M
48 D0120 Periodic oral evaluation - established patient $26.48M
49 92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient $24.19M
50 A0200 Non-emergency transportation: ancillary: lodging escort $23.32M
51 90853 Group psychotherapy (other than of a multiple-family group) $23.19M
52 90832 Psychotherapy, 30 minutes with patient $23.09M
53 87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe $22.45M
54 96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance $22.22M
55 H0007 Alcohol and/or drug services; crisis intervention (outpatient) $21.56M
56 H0023 Behavioral health outreach service (planned approach to reach a targeted population) $21.38M
57 H2036 Alcohol and/or other drug treatment program, per diem $21.31M
58 H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) $21.20M
59 87070 $20.29M
60 A0428 Ambulance service, basic life support, non-emergency transport, (bls) $19.64M
61 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine $19.33M
62 70450 Computed tomography, head or brain; without contrast material $18.82M
63 71046 Radiologic examination, chest; 2 views $16.22M
64 99232 Subsequent hospital care, per day, moderate complexity $15.63M
65 41899 Unlisted procedure, dentoalveolar structures $15.62M
66 96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular $15.55M
67 87086 Culture, bacterial; quantitative colony count, urine $15.27M
68 D1120 Prophylaxis - child $15.09M
69 0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel $15.07M
70 H0011 Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) $14.22M
71 81001 $14.06M
72 D1110 Prophylaxis - adult $14.00M
73 T2023 Targeted case management; per month $13.86M
74 A0180 Non-emergency transportation: ancillary: lodging-recipient $13.71M
75 T2003 Non-emergency transportation; encounter/trip $13.70M
76 D2392 Resin-based composite - two surfaces, posterior, primary or permanent $13.67M
77 93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report $13.28M
78 D1351 Sealant - per tooth $13.19M
79 99215 Prolong outpt/office vis $13.12M
80 H0031 Mental health assessment, by non-physician $13.02M
81 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour $11.95M
82 99233 Prolong inpt eval add15 m $11.78M
83 90999 Unlisted dialysis procedure, inpatient or outpatient $11.70M
84 C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source $11.38M
85 92340 Fitting of spectacles, except for aphakia; monofocal $11.14M
86 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed $10.92M
87 36415 Collection of venous blood by venipuncture $10.64M
88 H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education $10.56M
89 D0150 Comprehensive oral evaluation - new or established patient $10.55M
90 87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A $10.48M
91 93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete $10.01M
92 99442 $9.94M
93 87081 $9.92M
94 D2930 Prefabricated stainless steel crown - primary tooth $9.89M
95 S5100 Day care services, adult; per 15 minutes $9.84M
96 S5170 Home delivered meals, including preparation; per meal $9.46M
97 85025 Blood count; complete (CBC), automated, and automated differential WBC count $9.37M
98 80048 Basic metabolic panel (calcium, ionized) $9.14M
99 D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment $9.12M
100 99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes $9.08M
101 Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml $8.87M
102 96375 Therapeutic injection; each additional sequential IV push $8.86M
103 88305 Level IV - Surgical pathology, gross and microscopic examination $8.83M
104 92015 Determination of refractive state $8.76M
105 D0274 Bitewings - four radiographic images $8.64M
106 84443 Thyroid stimulating hormone (TSH) $8.63M
107 A0429 Ambulance service, basic life support, emergency transport (bls-emergency) $8.53M
108 71045 Radiologic examination, chest; single view $8.31M
109 T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification $8.23M
110 87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies $8.12M
111 D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth $7.60M
112 80307 Drug test(s), presumptive, any number of drug classes; immunoassay $7.50M
113 D0330 Panoramic radiographic image $7.39M
114 H2011 Crisis intervention service, per 15 minutes $7.33M
115 A0100 Non-emergency transportation; taxi $7.24M
116 96361 Intravenous infusion, hydration; each additional hour $7.14M
117 A0170 Transportation ancillary: parking fees, tolls, other $7.09M
118 99281 Emergency department visit for the evaluation and management, self-limited or minor $7.09M
119 97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) $7.05M
120 H0046 Mental health services, not otherwise specified $7.05M
121 43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple $7.01M
122 99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity $6.91M
123 74176 Computed tomography, abdomen and pelvis; without contrast material $6.72M
124 83540 $6.57M
125 99443 $6.51M
126 99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) $6.45M
127 99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) $6.42M
128 D7140 Extraction, erupted tooth or exposed root $5.95M
129 S5151 Unskilled respite care, not hospice; per diem $5.91M
130 H0038 Self-help/peer services, per 15 minutes $5.75M
131 T2025 Waiver services; not otherwise specified (nos) $5.67M
132 A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) $5.65M
133 80076 $5.59M
134 86580 $5.55M
135 97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination $5.45M
136 92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient $5.44M
137 S5140 Foster care, adult; per diem $5.27M
138 90847 Family psychotherapy with the patient present, 50 minutes $5.17M
139 D0272 Bitewings - two radiographic images $4.88M
140 J3490 Unclassified drugs $4.73M
141 T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter $4.69M
142 99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) $4.65M
143 99441 $4.65M
144 D2391 Resin-based composite - one surface, posterior, primary or permanent $4.56M
145 A0431 Ambulance service, conventional air services, transport, one way (rotary wing) $4.55M
146 87631 $4.50M
147 90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) $4.48M
148 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour $4.38M
149 80061 Lipid panel $4.38M
150 81025 $4.38M
151 92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder $4.37M
152 99408 $4.32M
153 80306 $4.26M
154 A0190 Non-emergency transportation: ancillary: meals-recipient $4.17M
155 86900 $4.12M
156 87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV $4.00M
157 D2740 Crown - porcelain/ceramic $3.99M
158 71275 Computed tomographic angiography, chest, with contrast material $3.97M
159 72125 Computed tomography, cervical spine; without contrast material $3.96M
160 80074 $3.85M
161 94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction $3.71M
162 D2393 Resin-based composite - three surfaces, posterior, primary or permanent $3.66M
163 97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes $3.60M
164 66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis $3.55M
165 U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc $3.48M
166 84439 $3.48M
167 99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity $3.47M
168 45380 Colonoscopy, flexible; with biopsy, single or multiple $3.45M
169 99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) $3.42M
170 87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types $3.36M
171 73130 $3.33M
172 99223 Prolong inpt eval add15 m $3.33M
173 H2010 Comprehensive medication services, per 15 minutes $3.28M
174 87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe $3.27M
175 73610 $3.20M
176 E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate $3.17M
177 A0130 Non-emergency transportation: wheelchair van $3.12M
178 D8670 Periodic orthodontic treatment visit $3.11M
179 87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets $3.09M
180 87077 $3.06M
181 T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" $3.02M
182 71260 Computed tomography, thorax, diagnostic; with contrast material $2.96M
183 H0039 Assertive community treatment, face-to-face, per 15 minutes $2.90M
184 H0001 Alcohol and/or drug assessment $2.85M
185 D1208 Topical application of fluoride, excluding varnish $2.81M
186 G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit $2.81M
187 J7030 Infusion, normal saline solution , 1000 cc $2.74M
188 C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) $2.73M
189 73630 $2.72M
190 84702 $2.66M
191 76705 Ultrasound, abdominal, real time with image documentation; limited $2.66M
192 83036 Hemoglobin; glycosylated (A1C) $2.64M
193 A0210 Non-emergency transportation: ancillary: meals-escort $2.63M
194 73030 $2.62M
195 U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r $2.55M
196 73562 $2.54M
197 87210 $2.52M
198 86480 $2.50M
199 87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe $2.50M
200 82728 $2.44M