Medicaid Provider Spending

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

Billing Codes in Arkansas

All 2,831 procedure codes billed by Medicaid providers in Arkansas, ranked by total spending.

#CodeDescriptionTotal Paid
1 T1015 Clinic visit/encounter, all-inclusive $1.41B
2 H2016 Comprehensive community support services, per diem $661.65M
3 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder $454.43M
4 97530 Therapeutic activities, direct patient contact, each 15 minutes $414.11M
5 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) $352.16M
6 90837 Psychotherapy, 53 minutes with patient $292.89M
7 97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion $261.25M
8 99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $197.79M
9 H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem $187.49M
10 H2019 Therapeutic behavioral services, per 15 minutes $184.03M
11 99509 Home visit for assistance with activities of daily living and personal care $165.80M
12 T2025 Waiver services; not otherwise specified (nos) $161.52M
13 99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $154.29M
14 S5125 Attendant care services; per 15 minutes $130.66M
15 T2031 Assisted living; waiver, per diem $89.56M
16 A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems $81.47M
17 A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) $75.86M
18 H2017 Psychosocial rehabilitation services, per 15 minutes $67.71M
19 A0425 Ground mileage, per statute mile $66.52M
20 H2015 Comprehensive community support services, per 15 minutes $59.69M
21 D0120 Periodic oral evaluation - established patient $58.84M
22 D2930 Prefabricated stainless steel crown - primary tooth $51.53M
23 D1110 Prophylaxis - adult $49.33M
24 90853 Group psychotherapy (other than of a multiple-family group) $47.66M
25 99284 Emergency department visit for the evaluation and management, high severity $42.90M
26 D1120 Prophylaxis - child $39.92M
27 T1021 Home health aide or certified nurse assistant, per visit $39.32M
28 99283 Emergency department visit for the evaluation and management, moderate severity $36.71M
29 D0272 Bitewings - two radiographic images $36.38M
30 H0004 Behavioral health counseling and therapy, per 15 minutes $33.90M
31 70450 Computed tomography, head or brain; without contrast material $33.67M
32 D8080 Comprehensive orthodontic treatment of the adolescent dentition $32.65M
33 99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life $31.48M
34 74177 Computed tomography, abdomen and pelvis; with contrast material $31.20M
35 D8670 Periodic orthodontic treatment visit $30.91M
36 E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate $29.48M
37 A0429 Ambulance service, basic life support, emergency transport (bls-emergency) $28.84M
38 A0431 Ambulance service, conventional air services, transport, one way (rotary wing) $28.53M
39 92340 Fitting of spectacles, except for aphakia; monofocal $27.11M
40 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) $27.04M
41 97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes $26.67M
42 80053 Comprehensive metabolic panel $25.21M
43 99232 Subsequent hospital care, per day, moderate complexity $24.23M
44 S5130 Homemaker service, nos; per 15 minutes $24.03M
45 87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets $24.01M
46 D7240 Removal of impacted tooth - completely bony $23.68M
47 99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) $22.81M
48 90834 Psychotherapy, 45 minutes with patient $21.80M
49 D1208 Topical application of fluoride, excluding varnish $21.70M
50 S9124 Nursing care, in the home; by licensed practical nurse, per hour $21.43M
51 T1005 Respite care services, up to 15 minutes $21.39M
52 99233 Prolong inpt eval add15 m $21.30M
53 99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) $21.17M
54 D1206 Topical application of fluoride varnish $20.25M
55 93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete $20.13M
56 T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each $20.04M
57 T2046 Hospice long term care, room and board only; per diem $19.63M
58 T1017 Targeted case management, each 15 minutes $18.78M
59 E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) $18.72M
60 D2150 Silver amalgam - two surfaces, primary or permanent $17.59M
61 80307 Drug test(s), presumptive, any number of drug classes; immunoassay $17.19M
62 A0428 Ambulance service, basic life support, non-emergency transport, (bls) $16.69M
63 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour $16.62M
64 T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each $16.05M
65 85025 Blood count; complete (CBC), automated, and automated differential WBC count $15.97M
66 D7140 Extraction, erupted tooth or exposed root $15.85M
67 90792 Psychiatric diagnostic evaluation with medical services $15.81M
68 90847 Family psychotherapy with the patient present, 50 minutes $15.74M
69 90832 Psychotherapy, 30 minutes with patient $15.66M
70 A0436 Rotary wing air mileage, per statute mile $15.50M
71 D0210 Intraoral - complete series of radiographic images $15.36M
72 T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each $15.03M
73 0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel $14.45M
74 A4554 Disposable underpads, all sizes $14.38M
75 D9230 Inhalation of nitrous oxide / analgesia, anxiolysis $14.34M
76 B4160 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit $14.32M
77 99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) $13.86M
78 T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each $13.53M
79 U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc $13.43M
80 E0445 Oximeter device for measuring blood oxygen levels non-invasively $13.37M
81 D0220 Intraoral - periapical first radiographic image $12.73M
82 J0585 Injection, onabotulinumtoxina, 1 unit $12.40M
83 T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each $12.25M
84 87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets $12.19M
85 99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger $12.18M
86 A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips $11.93M
87 97535 Self-care/home management training, each 15 minutes $11.90M
88 69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia $11.87M
89 92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder $11.73M
90 64635 $11.64M
91 D0240 $11.41M
92 70551 Magnetic resonance imaging, brain; without contrast material $11.40M
93 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 $11.27M
94 90846 Family psychotherapy without the patient present, 50 minutes $11.22M
95 97532 $10.99M
96 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 $10.94M
97 D2140 $10.93M
98 87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe $10.92M
99 92015 Determination of refractive state $10.57M
100 92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient $10.54M
101 70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences $10.42M
102 43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple $10.14M
103 S0621 Routine ophthalmological examination including refraction; established patient $10.09M
104 87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) $9.99M
105 72148 Magnetic resonance imaging, lumbar spine; without contrast material $9.90M
106 T1020 Personal care services, per diem, 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) $9.87M
107 80048 Basic metabolic panel (calcium, ionized) $9.86M
108 J9271 Injection, pembrolizumab, 1 mg $9.81M
109 71046 Radiologic examination, chest; 2 views $9.67M
110 99223 Prolong inpt eval add15 m $9.65M
111 88305 Level IV - Surgical pathology, gross and microscopic examination $9.57M
112 87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe $9.56M
113 87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe $9.52M
114 71045 Radiologic examination, chest; single view $9.38M
115 42820 Tonsillectomy and adenoidectomy; younger than age 12 $9.30M
116 D1351 Sealant - per tooth $9.28M
117 T2020 Day habilitation, waiver; per diem $9.21M
118 96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance $8.91M
119 99309 Subsequent nursing facility care, per day, low to moderate complexity $8.76M
120 90885 $8.71M
121 87804 Infectious agent antigen detection by immunoassay; Influenza, each type $8.65M
122 D0140 Limited oral evaluation - problem focused $8.53M
123 99215 Prolong outpt/office vis $8.51M
124 90999 Unlisted dialysis procedure, inpatient or outpatient $8.45M
125 S9131 Physical therapy; in the home, per diem $8.45M
126 B4150 Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit $8.44M
127 99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity $8.37M
128 T2028 Specialized supply, not otherwise specified, waiver $8.27M
129 11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm $8.22M
130 87428 $8.19M
131 D2392 Resin-based composite - two surfaces, posterior, primary or permanent $8.00M
132 99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) $7.93M
133 93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report $7.89M
134 87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism $7.79M
135 90791 Psychiatric diagnostic evaluation $7.77M
136 99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity $7.56M
137 A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) $7.50M
138 72125 Computed tomography, cervical spine; without contrast material $7.46M
139 99308 Subsequent nursing facility care, per day, straightforward $7.46M
140 59025 Fetal non-stress test $7.44M
141 74176 Computed tomography, abdomen and pelvis; without contrast material $7.41M
142 D0230 Intraoral - periapical each additional radiographic image $7.17M
143 E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) $7.09M
144 E0601 Continuous positive airway pressure (cpap) device $7.03M
145 D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction $6.97M
146 A4657 Syringe, with or without needle, each $6.95M
147 92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient $6.90M
148 64636 $6.62M
149 D9248 $6.43M
150 G0463 Hospital outpatient clinic visit for assessment and management of a patient $6.33M
151 71260 Computed tomography, thorax, diagnostic; with contrast material $6.25M
152 90686 $6.24M
153 00170 Anesthesia for intraoral procedures, including biopsy $6.17M
154 A5120 Skin barrier, wipes or swabs, each $6.11M
155 64493 $5.96M
156 93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study $5.85M
157 J1745 Injection, infliximab, excludes biosimilar, 10 mg $5.73M
158 87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A $5.72M
159 A4927 Gloves, non-sterile, per 100 $5.68M
160 83970 $5.61M
161 36415 Collection of venous blood by venipuncture $5.53M
162 99238 Hospital discharge day management, 30 minutes or less $5.47M
163 S0620 Routine ophthalmological examination including refraction; new patient $5.46M
164 T4531 Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each $5.44M
165 H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem $5.39M
166 87631 $5.34M
167 73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material $5.34M
168 B4100 Food thickener, administered orally, per ounce $5.34M
169 90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) $5.27M
170 99205 Prolong outpt/office vis $5.16M
171 99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward $5.11M
172 99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes $5.11M
173 99173 $4.93M
174 87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B $4.91M
175 99480 Subsequent intensive care, per day, low birth weight infant $4.86M
176 D2391 Resin-based composite - one surface, posterior, primary or permanent $4.86M
177 80050 General health panel $4.77M
178 D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment $4.65M
179 99479 Subsequent intensive care, per day, very low birth weight infant $4.63M
180 B4161 Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit $4.62M
181 T1027 Family training and counseling for child development, per 15 minutes $4.61M
182 87486 $4.54M
183 84443 Thyroid stimulating hormone (TSH) $4.48M
184 87581 $4.42M
185 72141 $4.38M
186 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed $4.36M
187 Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) $4.33M
188 99472 Subsequent inpatient pediatric critical care, per day, 2-5 years $4.29M
189 T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" $4.29M
190 83880 $4.28M
191 78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress $4.16M
192 93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only $4.15M
193 71275 Computed tomographic angiography, chest, with contrast material $4.12M
194 96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance $4.11M
195 E0430 Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing $4.09M
196 80061 Lipid panel $4.06M
197 V5008 Hearing screening $4.06M
198 J2350 Injection, ocrelizumab, 1 mg $4.03M
199 84484 $3.95M
200 82728 $3.89M