All 3,277 procedure codes billed by Medicaid providers in Colorado, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | T2016 | Habilitation, residential, waiver; per diem | $2.39B |
| 2 | 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) | $1.66B |
| 3 | A0100 | Non-emergency transportation; taxi | $1.32B |
| 4 | H0038 | Self-help/peer services, per 15 minutes | $1.32B |
| 5 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $888.32M |
| 6 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $710.88M |
| 7 | A0130 | Non-emergency transportation: wheelchair van | $664.55M |
| 8 | T2021 | Day habilitation, waiver; per 15 minutes | $658.48M |
| 9 | S5130 | Homemaker service, nos; per 15 minutes | $406.21M |
| 10 | 90837 | Psychotherapy, 53 minutes with patient | $382.89M |
| 11 | A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | $370.36M |
| 12 | D0999 | Unspecified diagnostic procedure, by report | $295.74M |
| 13 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $292.44M |
| 14 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $276.65M |
| 15 | T2031 | Assisted living; waiver, per diem | $262.65M |
| 16 | 99284 | Emergency department visit for the evaluation and management, high severity | $255.33M |
| 17 | T2003 | Non-emergency transportation; encounter/trip | $249.50M |
| 18 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $232.79M |
| 19 | S9122 | Home health aide or certified nurse assistant, providing care in the home; per hour | $229.25M |
| 20 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $211.37M |
| 21 | A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | $206.54M |
| 22 | S5105 | Day care services, center-based; services not included in program fee, per diem | $186.04M |
| 23 | A0425 | Ground mileage, per statute mile | $177.66M |
| 24 | T1017 | Targeted case management, each 15 minutes | $152.75M |
| 25 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $152.69M |
| 26 | T2019 | Habilitation, supported employment, waiver; per 15 minutes | $150.15M |
| 27 | T2023 | Targeted case management; per month | $149.08M |
| 28 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $147.01M |
| 29 | T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | $126.64M |
| 30 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $119.72M |
| 31 | H2021 | Community-based wrap-around services, per 15 minutes | $110.69M |
| 32 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $102.10M |
| 33 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $99.29M |
| 34 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $97.81M |
| 35 | L8619 | Cochlear implant, external speech processor and controller, integrated system, replacement | $96.09M |
| 36 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $95.83M |
| 37 | V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | $88.26M |
| 38 | S5150 | Unskilled respite care, not hospice; per 15 minutes | $88.24M |
| 39 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $82.12M |
| 40 | H0004 | Behavioral health counseling and therapy, per 15 minutes | $81.10M |
| 41 | 99215 | Prolong outpt/office vis | $80.39M |
| 42 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $77.48M |
| 43 | T2030 | Assisted living, waiver; per month | $72.06M |
| 44 | 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | $71.76M |
| 45 | 90834 | Psychotherapy, 45 minutes with patient | $70.57M |
| 46 | D0120 | Periodic oral evaluation - established patient | $67.75M |
| 47 | D1110 | Prophylaxis - adult | $67.12M |
| 48 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $65.00M |
| 49 | 96361 | Intravenous infusion, hydration; each additional hour | $64.36M |
| 50 | H2014 | Skills training and development, per 15 minutes | $63.17M |
| 51 | H2036 | Alcohol and/or other drug treatment program, per diem | $62.99M |
| 52 | H2019 | Therapeutic behavioral services, per 15 minutes | $60.99M |
| 53 | T2033 | Residential care, not otherwise specified (nos), waiver; per diem | $60.38M |
| 54 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $58.59M |
| 55 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $57.63M |
| 56 | 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 | $57.20M |
| 57 | D1120 | Prophylaxis - child | $56.58M |
| 58 | G0483 | 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; 22 or more drug class(es), including metabolite(s) if performed | $56.17M |
| 59 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $54.47M |
| 60 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $50.47M |
| 61 | 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 | $49.09M |
| 62 | D1206 | Topical application of fluoride varnish | $49.04M |
| 63 | D2740 | Crown - porcelain/ceramic | $47.52M |
| 64 | H0005 | Alcohol and/or drug services; group counseling by a clinician | $47.13M |
| 65 | G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | $47.00M |
| 66 | S9128 | Speech therapy, in the home, per diem | $44.37M |
| 67 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $44.27M |
| 68 | 99233 | Prolong inpt eval add15 m | $43.03M |
| 69 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $42.04M |
| 70 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $42.04M |
| 71 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $41.42M |
| 72 | H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | $41.42M |
| 73 | 90832 | Psychotherapy, 30 minutes with patient | $39.62M |
| 74 | V2020 | Frames, purchases | $39.51M |
| 75 | D7140 | Extraction, erupted tooth or exposed root | $37.99M |
| 76 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $37.38M |
| 77 | A0110 | Non-emergency transportation and bus, intra or inter state carrier | $36.80M |
| 78 | D2930 | Prefabricated stainless steel crown - primary tooth | $36.59M |
| 79 | E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | $34.95M |
| 80 | 99232 | Subsequent hospital care, per day, moderate complexity | $33.72M |
| 81 | 90460 | Immunization administration through 18 years of age via any route, first or only component | $32.81M |
| 82 | A4554 | Disposable underpads, all sizes | $32.71M |
| 83 | T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | $32.61M |
| 84 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $32.45M |
| 85 | D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | $32.16M |
| 86 | G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | $31.81M |
| 87 | D0150 | Comprehensive oral evaluation - new or established patient | $31.61M |
| 88 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $31.14M |
| 89 | T2024 | Service assessment/plan of care development, waiver | $30.95M |
| 90 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $30.58M |
| 91 | H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | $30.34M |
| 92 | 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | $29.45M |
| 93 | E1399 | Durable medical equipment, miscellaneous | $29.34M |
| 94 | 90791 | Psychiatric diagnostic evaluation | $28.60M |
| 95 | D7240 | Removal of impacted tooth - completely bony | $28.59M |
| 96 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $27.51M |
| 97 | V2784 | Lens, polycarbonate or equal, any index, per lens | $27.47M |
| 98 | H0017 | Behavioral health; residential (hospital residential treatment program), without room and board, per diem | $26.81M |
| 99 | D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | $26.35M |
| 100 | D0274 | Bitewings - four radiographic images | $25.98M |
| 101 | T2005 | Non-emergency transportation; stretcher van | $25.64M |
| 102 | A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $25.26M |
| 103 | L8692 | Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment | $25.20M |
| 104 | T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | $25.11M |
| 105 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $25.00M |
| 106 | 41899 | Unlisted procedure, dentoalveolar structures | $24.08M |
| 107 | V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | $24.06M |
| 108 | H0046 | Mental health services, not otherwise specified | $23.59M |
| 109 | A4556 | Electrodes, (e.g., apnea monitor), per pair | $23.43M |
| 110 | D0330 | Panoramic radiographic image | $23.41M |
| 111 | 80053 | Comprehensive metabolic panel | $23.10M |
| 112 | H2011 | Crisis intervention service, per 15 minutes | $22.66M |
| 113 | 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 | $22.61M |
| 114 | J0585 | Injection, onabotulinumtoxina, 1 unit | $22.56M |
| 115 | A9274 | External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories | $22.42M |
| 116 | A4353 | Intermittent urinary catheter, with insertion supplies | $22.39M |
| 117 | 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | $22.26M |
| 118 | D0220 | Intraoral - periapical first radiographic image | $22.05M |
| 119 | H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | $21.89M |
| 120 | S0215 | Non-emergency transportation; mileage, per mile | $21.48M |
| 121 | A0180 | Non-emergency transportation: ancillary: lodging-recipient | $21.37M |
| 122 | D0230 | Intraoral - periapical each additional radiographic image | $21.35M |
| 123 | 96110 | Developmental screening, with scoring and documentation, per standardized instrument | $21.30M |
| 124 | H0002 | Behavioral health screening to determine eligibility for admission to treatment program | $21.08M |
| 125 | D8660 | $20.97M | |
| 126 | G0176 | Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) | $20.95M |
| 127 | T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | $20.95M |
| 128 | D1351 | Sealant - per tooth | $20.53M |
| 129 | S9129 | Occupational therapy, in the home, per diem | $20.16M |
| 130 | D2150 | Silver amalgam - two surfaces, primary or permanent | $20.15M |
| 131 | 70450 | Computed tomography, head or brain; without contrast material | $19.76M |
| 132 | S5161 | Emergency response system; service fee, per month (excludes installation and testing) | $19.49M |
| 133 | 92340 | Fitting of spectacles, except for aphakia; monofocal | $19.40M |
| 134 | B4149 | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | $19.32M |
| 135 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $19.20M |
| 136 | D0350 | $18.76M | |
| 137 | D0140 | Limited oral evaluation - problem focused | $17.64M |
| 138 | A4927 | Gloves, non-sterile, per 100 | $17.61M |
| 139 | T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | $17.21M |
| 140 | S5151 | Unskilled respite care, not hospice; per diem | $16.77M |
| 141 | D0210 | Intraoral - complete series of radiographic images | $16.67M |
| 142 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $16.60M |
| 143 | B4154 | Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | $16.49M |
| 144 | E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | $16.31M |
| 145 | D0272 | Bitewings - two radiographic images | $16.07M |
| 146 | 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | $15.93M |
| 147 | B4155 | Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit | $15.69M |
| 148 | H0031 | Mental health assessment, by non-physician | $15.62M |
| 149 | A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | $15.38M |
| 150 | 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 | $15.34M |
| 151 | D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | $15.31M |
| 152 | A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | $15.29M |
| 153 | B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | $15.24M |
| 154 | J2315 | Injection, naltrexone, depot form, 1 mg | $14.82M |
| 155 | A0436 | Rotary wing air mileage, per statute mile | $14.65M |
| 156 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $14.05M |
| 157 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $13.86M |
| 158 | D8090 | $13.77M | |
| 159 | 99223 | Prolong inpt eval add15 m | $13.70M |
| 160 | B9998 | Noc for enteral supplies | $13.66M |
| 161 | 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | $13.36M |
| 162 | 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 | $13.28M |
| 163 | A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | $13.11M |
| 164 | E2402 | Negative pressure wound therapy electrical pump, stationary or portable | $13.07M |
| 165 | 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | $13.04M |
| 166 | S9480 | Intensive outpatient psychiatric services, per diem | $12.89M |
| 167 | K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | $12.78M |
| 168 | E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | $12.73M |
| 169 | 80050 | General health panel | $12.42M |
| 170 | 97124 | $12.10M | |
| 171 | T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | $12.05M |
| 172 | H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | $12.02M |
| 173 | A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | $11.87M |
| 174 | V2750 | Anti-reflective coating, per lens | $11.87M |
| 175 | T2004 | Non-emergency transport; commercial carrier, multi-pass | $11.84M |
| 176 | E0601 | Continuous positive airway pressure (cpap) device | $11.81M |
| 177 | B4153 | Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | $11.74M |
| 178 | D9410 | $11.64M | |
| 179 | H0035 | Mental health partial hospitalization, treatment, less than 24 hours | $11.62M |
| 180 | V2025 | Deluxe frame | $11.57M |
| 181 | L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | $11.49M |
| 182 | S5165 | Home modifications; per service | $11.46M |
| 183 | 92609 | $11.33M | |
| 184 | H2033 | Multisystemic therapy for juveniles, per 15 minutes | $11.33M |
| 185 | 90853 | Group psychotherapy (other than of a multiple-family group) | $11.18M |
| 186 | K0108 | Wheelchair component or accessory, not otherwise specified | $11.16M |
| 187 | 71045 | Radiologic examination, chest; single view | $10.95M |
| 188 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $10.82M |
| 189 | H0032 | Mental health service plan development by non-physician | $10.80M |
| 190 | D9222 | $10.72M | |
| 191 | 90847 | Family psychotherapy with the patient present, 50 minutes | $10.41M |
| 192 | 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $10.25M |
| 193 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $10.06M |
| 194 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $10.05M |
| 195 | 36475 | $9.93M | |
| 196 | H0039 | Assertive community treatment, face-to-face, per 15 minutes | $9.90M |
| 197 | 90792 | Psychiatric diagnostic evaluation with medical services | $9.89M |
| 198 | T2015 | Habilitation, prevocational, waiver; per hour | $9.84M |
| 199 | 97533 | $9.82M | |
| 200 | K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing | $9.80M |