All 2,793 procedure codes billed by Medicaid providers in Alabama, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | T2016 | Habilitation, residential, waiver; per diem | $1.83B |
| 2 | T1015 | Clinic visit/encounter, all-inclusive | $700.30M |
| 3 | 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) | $627.87M |
| 4 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $401.52M |
| 5 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $369.06M |
| 6 | H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | $338.78M |
| 7 | 81479 | Unlisted molecular pathology procedure | $267.89M |
| 8 | T2021 | Day habilitation, waiver; per 15 minutes | $211.68M |
| 9 | 99284 | Emergency department visit for the evaluation and management, high severity | $192.22M |
| 10 | A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $176.14M |
| 11 | G9008 | Coordinated care fee, physician coordinated care oversight services | $148.78M |
| 12 | T2023 | Targeted case management; per month | $142.07M |
| 13 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $141.03M |
| 14 | 90837 | Psychotherapy, 53 minutes with patient | $137.19M |
| 15 | T2046 | Hospice long term care, room and board only; per diem | $116.91M |
| 16 | 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | $114.89M |
| 17 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $109.05M |
| 18 | S5130 | Homemaker service, nos; per 15 minutes | $86.75M |
| 19 | A0436 | Rotary wing air mileage, per statute mile | $84.40M |
| 20 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $73.62M |
| 21 | 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | $68.85M |
| 22 | 90791 | Psychiatric diagnostic evaluation | $67.58M |
| 23 | 99215 | Prolong outpt/office vis | $65.94M |
| 24 | S5170 | Home delivered meals, including preparation; per meal | $65.37M |
| 25 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $64.77M |
| 26 | 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | $59.87M |
| 27 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $58.34M |
| 28 | 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 | $58.09M |
| 29 | 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | $57.79M |
| 30 | D1120 | Prophylaxis - child | $54.34M |
| 31 | H2012 | Behavioral health day treatment, per hour | $53.53M |
| 32 | A0425 | Ground mileage, per statute mile | $51.61M |
| 33 | D0120 | Periodic oral evaluation - established patient | $47.88M |
| 34 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $47.10M |
| 35 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $44.19M |
| 36 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $43.81M |
| 37 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $43.11M |
| 38 | 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | $42.08M |
| 39 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $40.58M |
| 40 | H2027 | Psychoeducational service, per 15 minutes | $38.81M |
| 41 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $38.72M |
| 42 | H2021 | Community-based wrap-around services, per 15 minutes | $38.58M |
| 43 | 99232 | Subsequent hospital care, per day, moderate complexity | $38.25M |
| 44 | 90832 | Psychotherapy, 30 minutes with patient | $37.49M |
| 45 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $37.20M |
| 46 | H0004 | Behavioral health counseling and therapy, per 15 minutes | $37.03M |
| 47 | H0040 | Assertive community treatment program, per diem | $36.97M |
| 48 | 99233 | Prolong inpt eval add15 m | $32.58M |
| 49 | D1208 | Topical application of fluoride, excluding varnish | $32.14M |
| 50 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $31.38M |
| 51 | T1016 | Case management, each 15 minutes | $29.77M |
| 52 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $28.96M |
| 53 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $28.07M |
| 54 | 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | $27.93M |
| 55 | D2930 | Prefabricated stainless steel crown - primary tooth | $27.60M |
| 56 | D1110 | Prophylaxis - adult | $26.20M |
| 57 | 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | $26.16M |
| 58 | 90847 | Family psychotherapy with the patient present, 50 minutes | $24.86M |
| 59 | D1999 | $24.36M | |
| 60 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $24.24M |
| 61 | 59510 | $24.13M | |
| 62 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $24.11M |
| 63 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $23.95M |
| 64 | D0330 | Panoramic radiographic image | $23.74M |
| 65 | 99479 | Subsequent intensive care, per day, very low birth weight infant | $23.31M |
| 66 | 99244 | Office or other outpatient consultation, moderate to high complexity | $23.28M |
| 67 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $23.05M |
| 68 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $22.68M |
| 69 | A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | $22.50M |
| 70 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $22.44M |
| 71 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $21.87M |
| 72 | H2022 | Community-based wrap-around services, per diem | $21.48M |
| 73 | 80053 | Comprehensive metabolic panel | $21.28M |
| 74 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $21.00M |
| 75 | D0272 | Bitewings - two radiographic images | $19.95M |
| 76 | 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | $19.89M |
| 77 | S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | $19.87M |
| 78 | D7240 | Removal of impacted tooth - completely bony | $19.52M |
| 79 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $19.51M |
| 80 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $19.39M |
| 81 | D1354 | $18.53M | |
| 82 | 90834 | Psychotherapy, 45 minutes with patient | $18.44M |
| 83 | H0035 | Mental health partial hospitalization, treatment, less than 24 hours | $18.38M |
| 84 | S9124 | Nursing care, in the home; by licensed practical nurse, per hour | $18.26M |
| 85 | H0032 | Mental health service plan development by non-physician | $18.24M |
| 86 | T2028 | Specialized supply, not otherwise specified, waiver | $17.96M |
| 87 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $17.83M |
| 88 | T2002 | Non-emergency transportation; per diem | $17.76M |
| 89 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $17.72M |
| 90 | 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | $17.49M |
| 91 | G9002 | Coordinated care fee, maintenance rate | $17.46M |
| 92 | 80050 | General health panel | $17.17M |
| 93 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $17.05M |
| 94 | S5150 | Unskilled respite care, not hospice; per 15 minutes | $17.03M |
| 95 | D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | $17.00M |
| 96 | D1206 | Topical application of fluoride varnish | $16.46M |
| 97 | 81220 | CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants | $16.39M |
| 98 | 87581 | $16.37M | |
| 99 | 84443 | Thyroid stimulating hormone (TSH) | $16.33M |
| 100 | A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | $16.13M |
| 101 | 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | $16.12M |
| 102 | 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $15.87M |
| 103 | 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | $15.69M |
| 104 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $15.25M |
| 105 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $14.90M |
| 106 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $14.74M |
| 107 | D7140 | Extraction, erupted tooth or exposed root | $14.33M |
| 108 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $14.20M |
| 109 | 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | $14.09M |
| 110 | 80061 | Lipid panel | $13.69M |
| 111 | H0046 | Mental health services, not otherwise specified | $13.67M |
| 112 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $13.41M |
| 113 | D9430 | $13.35M | |
| 114 | 90460 | Immunization administration through 18 years of age via any route, first or only component | $13.31M |
| 115 | H0033 | Oral medication administration, direct observation | $13.15M |
| 116 | 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | $12.57M |
| 117 | S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | $12.53M |
| 118 | 92340 | Fitting of spectacles, except for aphakia; monofocal | $12.48M |
| 119 | A0435 | Fixed wing air mileage, per statute mile | $12.40M |
| 120 | U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | $12.39M |
| 121 | H0034 | Medication training and support, per 15 minutes | $12.34M |
| 122 | 99238 | Hospital discharge day management, 30 minutes or less | $12.28M |
| 123 | 90670 | $12.17M | |
| 124 | 90853 | Group psychotherapy (other than of a multiple-family group) | $11.75M |
| 125 | 81420 | Fetal chromosomal aneuploidy genomic sequence analysis panel | $11.71M |
| 126 | 83498 | $11.49M | |
| 127 | 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | $11.27M |
| 128 | 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | $11.22M |
| 129 | D1351 | Sealant - per tooth | $11.21M |
| 130 | 99223 | Prolong inpt eval add15 m | $10.93M |
| 131 | 87486 | $10.39M | |
| 132 | 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | $10.30M |
| 133 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $10.27M |
| 134 | 70450 | Computed tomography, head or brain; without contrast material | $10.00M |
| 135 | 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | $9.73M |
| 136 | U0005 | 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | $8.90M |
| 137 | D0274 | Bitewings - four radiographic images | $8.80M |
| 138 | 82775 | $8.70M | |
| 139 | D9222 | $8.63M | |
| 140 | 87507 | $8.63M | |
| 141 | 87634 | $8.60M | |
| 142 | 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | $8.57M |
| 143 | 99468 | $8.51M | |
| 144 | T1005 | Respite care services, up to 15 minutes | $8.49M |
| 145 | T1017 | Targeted case management, each 15 minutes | $8.48M |
| 146 | 99460 | $8.45M | |
| 147 | S9083 | Global fee urgent care centers | $8.42M |
| 148 | D0150 | Comprehensive oral evaluation - new or established patient | $8.24M |
| 149 | V2020 | Frames, purchases | $8.13M |
| 150 | D7230 | $7.90M | |
| 151 | 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | $7.88M |
| 152 | 99480 | Subsequent intensive care, per day, low birth weight infant | $7.71M |
| 153 | 92015 | Determination of refractive state | $7.65M |
| 154 | 87631 | $7.63M | |
| 155 | 71045 | Radiologic examination, chest; single view | $7.61M |
| 156 | 83036 | Hemoglobin; glycosylated (A1C) | $7.59M |
| 157 | 00170 | Anesthesia for intraoral procedures, including biopsy | $7.41M |
| 158 | S9110 | Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month | $7.37M |
| 159 | 80081 | $7.27M | |
| 160 | D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | $7.25M |
| 161 | A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | $7.15M |
| 162 | 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | $7.08M |
| 163 | J2323 | Injection, natalizumab, 1 mg | $7.07M |
| 164 | 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | $6.97M |
| 165 | 82139 | $6.97M | |
| 166 | 82017 | $6.97M | |
| 167 | 82261 | $6.97M | |
| 168 | 82379 | $6.97M | |
| 169 | H2011 | Crisis intervention service, per 15 minutes | $6.92M |
| 170 | 87481 | $6.82M | |
| 171 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $6.78M |
| 172 | T1040 | Medicaid certified community behavioral health clinic services, per diem | $6.77M |
| 173 | 99243 | $6.76M | |
| 174 | H2019 | Therapeutic behavioral services, per 15 minutes | $6.75M |
| 175 | 90686 | $6.66M | |
| 176 | D0140 | Limited oral evaluation - problem focused | $6.63M |
| 177 | V2784 | Lens, polycarbonate or equal, any index, per lens | $6.56M |
| 178 | 87428 | $6.53M | |
| 179 | D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | $6.52M |
| 180 | A9274 | External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories | $6.34M |
| 181 | 65778 | $6.28M | |
| 182 | T2015 | Habilitation, prevocational, waiver; per hour | $6.14M |
| 183 | T2019 | Habilitation, supported employment, waiver; per 15 minutes | $6.10M |
| 184 | 71046 | Radiologic examination, chest; 2 views | $6.07M |
| 185 | 99205 | Prolong outpt/office vis | $6.05M |
| 186 | V2750 | Anti-reflective coating, per lens | $5.98M |
| 187 | J0791 | Injection, crizanlizumab-tmca, 5 mg | $5.98M |
| 188 | Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | $5.94M |
| 189 | 81329 | $5.87M | |
| 190 | B9002 | Enteral nutrition infusion pump, any type | $5.78M |
| 191 | 90680 | $5.77M | |
| 192 | 87086 | Culture, bacterial; quantitative colony count, urine | $5.68M |
| 193 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $5.57M |
| 194 | E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | $5.53M |
| 195 | 90461 | $5.51M | |
| 196 | 83520 | $5.40M | |
| 197 | 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | $5.32M |
| 198 | A4353 | Intermittent urinary catheter, with insertion supplies | $5.27M |
| 199 | 99245 | $5.26M | |
| 200 | 99308 | Subsequent nursing facility care, per day, straightforward | $5.18M |