All 4,357 procedure codes billed by Medicaid providers in Arizona, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | S5125 | Attendant care services; per 15 minutes | $3.47B |
| 2 | T1015 | Clinic visit/encounter, all-inclusive | $2.77B |
| 3 | T2016 | Habilitation, residential, waiver; per diem | $1.42B |
| 4 | T1016 | Case management, each 15 minutes | $1.39B |
| 5 | H0004 | Behavioral health counseling and therapy, per 15 minutes | $1.19B |
| 6 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $1.05B |
| 7 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $904.14M |
| 8 | 99284 | Emergency department visit for the evaluation and management, high severity | $873.66M |
| 9 | H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | $816.04M |
| 10 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $740.87M |
| 11 | T2033 | Residential care, not otherwise specified (nos), waiver; per diem | $721.93M |
| 12 | H2014 | Skills training and development, per 15 minutes | $680.03M |
| 13 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $664.30M |
| 14 | 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 | $635.52M |
| 15 | S0215 | Non-emergency transportation; mileage, per mile | $603.05M |
| 16 | T2017 | Habilitation, residential, waiver; 15 minutes | $566.10M |
| 17 | S5150 | Unskilled respite care, not hospice; per 15 minutes | $548.43M |
| 18 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $543.14M |
| 19 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $386.69M |
| 20 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $381.74M |
| 21 | A0425 | Ground mileage, per statute mile | $326.55M |
| 22 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $318.59M |
| 23 | H2027 | Psychoeducational service, per 15 minutes | $294.96M |
| 24 | H0031 | Mental health assessment, by non-physician | $293.73M |
| 25 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $281.97M |
| 26 | H0038 | Self-help/peer services, per 15 minutes | $279.68M |
| 27 | H2016 | Comprehensive community support services, per diem | $263.01M |
| 28 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $261.75M |
| 29 | S9124 | Nursing care, in the home; by licensed practical nurse, per hour | $257.62M |
| 30 | T2021 | Day habilitation, waiver; per 15 minutes | $252.69M |
| 31 | 99233 | Prolong inpt eval add15 m | $246.20M |
| 32 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $232.43M |
| 33 | 97535 | Self-care/home management training, each 15 minutes | $220.12M |
| 34 | 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 | $187.20M |
| 35 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $159.18M |
| 36 | 99232 | Subsequent hospital care, per day, moderate complexity | $157.73M |
| 37 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $147.59M |
| 38 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $144.82M |
| 39 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $137.38M |
| 40 | A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | $136.27M |
| 41 | S9480 | Intensive outpatient psychiatric services, per diem | $133.34M |
| 42 | H2010 | Comprehensive medication services, per 15 minutes | $129.73M |
| 43 | 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) | $125.66M |
| 44 | 74176 | Computed tomography, abdomen and pelvis; without contrast material | $114.67M |
| 45 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $113.01M |
| 46 | 70450 | Computed tomography, head or brain; without contrast material | $112.41M |
| 47 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $111.89M |
| 48 | H2011 | Crisis intervention service, per 15 minutes | $92.34M |
| 49 | 99215 | Prolong outpt/office vis | $90.56M |
| 50 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $88.49M |
| 51 | 99223 | Prolong inpt eval add15 m | $79.03M |
| 52 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $74.15M |
| 53 | 90460 | Immunization administration through 18 years of age via any route, first or only component | $73.86M |
| 54 | G0378 | Hospital observation service, per hour | $73.10M |
| 55 | S1040 | Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s) | $70.25M |
| 56 | S5110 | Home care training, family; per 15 minutes | $68.17M |
| 57 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $68.06M |
| 58 | J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | $66.80M |
| 59 | 90792 | Psychiatric diagnostic evaluation with medical services | $65.06M |
| 60 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $63.87M |
| 61 | T2025 | Waiver services; not otherwise specified (nos) | $62.97M |
| 62 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $61.77M |
| 63 | S0209 | Wheelchair van, mileage, per mile | $61.13M |
| 64 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $59.88M |
| 65 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $57.98M |
| 66 | H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | $55.06M |
| 67 | S9485 | Crisis intervention mental health services, per diem | $54.44M |
| 68 | 72125 | Computed tomography, cervical spine; without contrast material | $53.50M |
| 69 | S0201 | Partial hospitalization services, less than 24 hours, per diem | $52.58M |
| 70 | T2019 | Habilitation, supported employment, waiver; per 15 minutes | $52.49M |
| 71 | A0100 | Non-emergency transportation; taxi | $52.40M |
| 72 | 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $49.77M |
| 73 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $49.49M |
| 74 | 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | $48.94M |
| 75 | T2013 | Habilitation, educational, waiver; per hour | $47.61M |
| 76 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $47.40M |
| 77 | A0436 | Rotary wing air mileage, per statute mile | $47.34M |
| 78 | 71275 | Computed tomographic angiography, chest, with contrast material | $47.10M |
| 79 | 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | $46.37M |
| 80 | 90837 | Psychotherapy, 53 minutes with patient | $46.03M |
| 81 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $43.79M |
| 82 | A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | $42.75M |
| 83 | J9271 | Injection, pembrolizumab, 1 mg | $42.51M |
| 84 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $42.26M |
| 85 | 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | $41.54M |
| 86 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $41.16M |
| 87 | 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | $41.06M |
| 88 | C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | $40.32M |
| 89 | D1120 | Prophylaxis - child | $38.78M |
| 90 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $37.99M |
| 91 | 80053 | Comprehensive metabolic panel | $37.54M |
| 92 | 99239 | Hospital discharge day management, more than 30 minutes | $36.29M |
| 93 | 77067 | Screening mammography, bilateral, including computer-aided detection | $35.05M |
| 94 | G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | $34.66M |
| 95 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $32.09M |
| 96 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $31.77M |
| 97 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $31.34M |
| 98 | A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $31.12M |
| 99 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $30.21M |
| 100 | 47562 | $30.00M | |
| 101 | 44970 | $29.15M | |
| 102 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $29.00M |
| 103 | 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) | $28.73M |
| 104 | V2020 | Frames, purchases | $28.67M |
| 105 | 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | $27.82M |
| 106 | 99244 | Office or other outpatient consultation, moderate to high complexity | $27.64M |
| 107 | D0120 | Periodic oral evaluation - established patient | $27.07M |
| 108 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $26.95M |
| 109 | 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | $26.41M |
| 110 | 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | $25.42M |
| 111 | 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | $25.32M |
| 112 | A0130 | Non-emergency transportation: wheelchair van | $25.10M |
| 113 | 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | $25.03M |
| 114 | 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | $25.00M |
| 115 | 45380 | Colonoscopy, flexible; with biopsy, single or multiple | $24.75M |
| 116 | 80050 | General health panel | $24.38M |
| 117 | 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | $24.08M |
| 118 | 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | $23.37M |
| 119 | T2012 | Habilitation, educational; waiver, per diem | $23.08M |
| 120 | T2028 | Specialized supply, not otherwise specified, waiver | $22.82M |
| 121 | G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | $22.74M |
| 122 | 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | $22.74M |
| 123 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $22.30M |
| 124 | 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | $22.09M |
| 125 | 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | $21.98M |
| 126 | H2021 | Community-based wrap-around services, per 15 minutes | $21.41M |
| 127 | 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 | $21.36M |
| 128 | A0998 | Ambulance response and treatment, no transport | $21.26M |
| 129 | H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | $21.19M |
| 130 | 95810 | Polysomnography; sleep staging with 4 or more additional parameters | $20.96M |
| 131 | 70551 | Magnetic resonance imaging, brain; without contrast material | $20.87M |
| 132 | 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | $20.67M |
| 133 | G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | $20.22M |
| 134 | 64483 | $19.96M | |
| 135 | 99308 | Subsequent nursing facility care, per day, straightforward | $19.94M |
| 136 | T1003 | Lpn/lvn services, up to 15 minutes | $19.84M |
| 137 | H2019 | Therapeutic behavioral services, per 15 minutes | $19.64M |
| 138 | 99254 | $19.63M | |
| 139 | 96361 | Intravenous infusion, hydration; each additional hour | $19.48M |
| 140 | 71045 | Radiologic examination, chest; single view | $19.04M |
| 141 | 71046 | Radiologic examination, chest; 2 views | $18.95M |
| 142 | S5151 | Unskilled respite care, not hospice; per diem | $18.52M |
| 143 | T1002 | Rn services, up to 15 minutes | $18.41M |
| 144 | 59025 | Fetal non-stress test | $18.26M |
| 145 | 36902 | $18.11M | |
| 146 | H2020 | Therapeutic behavioral services, per diem | $17.89M |
| 147 | H0002 | Behavioral health screening to determine eligibility for admission to treatment program | $17.83M |
| 148 | T1021 | Home health aide or certified nurse assistant, per visit | $17.75M |
| 149 | 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | $17.63M |
| 150 | A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | $17.10M |
| 151 | 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 | $17.07M |
| 152 | S5140 | Foster care, adult; per diem | $16.92M |
| 153 | E2510 | Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access | $16.87M |
| 154 | 99238 | Hospital discharge day management, 30 minutes or less | $16.85M |
| 155 | 99310 | Prolong nursin fac eval 15m | $16.66M |
| 156 | J0585 | Injection, onabotulinumtoxina, 1 unit | $16.56M |
| 157 | 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | $16.51M |
| 158 | 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | $16.33M |
| 159 | 99222 | Initial hospital care, per day, moderate complexity | $16.15M |
| 160 | D2930 | Prefabricated stainless steel crown - primary tooth | $16.14M |
| 161 | A0435 | Fixed wing air mileage, per statute mile | $15.91M |
| 162 | J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | $15.80M |
| 163 | 76700 | Ultrasound, abdominal, real time with image documentation; complete | $15.56M |
| 164 | T2040 | Financial management, self-directed, waiver; per 15 minutes | $15.51M |
| 165 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $15.19M |
| 166 | 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | $15.18M |
| 167 | Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | $15.17M |
| 168 | D1206 | Topical application of fluoride varnish | $15.14M |
| 169 | 76830 | Ultrasound, transvaginal | $15.12M |
| 170 | 90791 | Psychiatric diagnostic evaluation | $15.00M |
| 171 | E2402 | Negative pressure wound therapy electrical pump, stationary or portable | $14.76M |
| 172 | 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | $14.74M |
| 173 | H2015 | Comprehensive community support services, per 15 minutes | $14.61M |
| 174 | 95144 | $14.55M | |
| 175 | A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | $14.45M |
| 176 | D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | $14.43M |
| 177 | 97803 | $14.36M | |
| 178 | 90853 | Group psychotherapy (other than of a multiple-family group) | $14.17M |
| 179 | 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | $14.03M |
| 180 | V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $13.80M |
| 181 | 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | $13.65M |
| 182 | A4353 | Intermittent urinary catheter, with insertion supplies | $13.64M |
| 183 | 76819 | Fetal biophysical profile; without non-stress testing | $13.61M |
| 184 | 80061 | Lipid panel | $13.39M |
| 185 | J1745 | Injection, infliximab, excludes biosimilar, 10 mg | $13.26M |
| 186 | 93970 | $13.25M | |
| 187 | 99205 | Prolong outpt/office vis | $13.19M |
| 188 | A0398 | Als routine disposable supplies | $13.06M |
| 189 | 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | $12.94M |
| 190 | 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | $12.75M |
| 191 | 99601 | $12.71M | |
| 192 | 64635 | $12.68M | |
| 193 | 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | $12.67M |
| 194 | 36478 | $12.40M | |
| 195 | 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | $12.39M |
| 196 | 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | $12.32M |
| 197 | T1005 | Respite care services, up to 15 minutes | $12.25M |
| 198 | 92526 | $12.08M | |
| 199 | D1110 | Prophylaxis - adult | $11.96M |
| 200 | 95811 | $11.92M |