All 2,120 procedure codes billed by Medicaid providers in District of Columbia, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | 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) | $1.38B |
| 2 | H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | $796.12M |
| 3 | T2016 | Habilitation, residential, waiver; per diem | $559.01M |
| 4 | T1015 | Clinic visit/encounter, all-inclusive | $187.57M |
| 5 | H0039 | Assertive community treatment, face-to-face, per 15 minutes | $155.92M |
| 6 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $136.24M |
| 7 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $124.26M |
| 8 | 99284 | Emergency department visit for the evaluation and management, high severity | $117.30M |
| 9 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $99.03M |
| 10 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $98.90M |
| 11 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $91.85M |
| 12 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $76.45M |
| 13 | H0044 | Supported housing, per month | $75.70M |
| 14 | H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | $69.93M |
| 15 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $67.22M |
| 16 | T2033 | Residential care, not otherwise specified (nos), waiver; per diem | $63.57M |
| 17 | T2021 | Day habilitation, waiver; per 15 minutes | $62.93M |
| 18 | 99509 | Home visit for assistance with activities of daily living and personal care | $58.66M |
| 19 | S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | $56.55M |
| 20 | H0034 | Medication training and support, per 15 minutes | $53.20M |
| 21 | 90837 | Psychotherapy, 53 minutes with patient | $51.40M |
| 22 | T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | $48.02M |
| 23 | T2031 | Assisted living; waiver, per diem | $41.66M |
| 24 | G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | $40.23M |
| 25 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $39.95M |
| 26 | T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | $39.64M |
| 27 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $36.98M |
| 28 | 96361 | Intravenous infusion, hydration; each additional hour | $35.16M |
| 29 | 99215 | Prolong outpt/office vis | $34.78M |
| 30 | H0004 | Behavioral health counseling and therapy, per 15 minutes | $33.48M |
| 31 | 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 | $29.33M |
| 32 | T2003 | Non-emergency transportation; encounter/trip | $28.82M |
| 33 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $27.30M |
| 34 | S5100 | Day care services, adult; per 15 minutes | $26.11M |
| 35 | 70450 | Computed tomography, head or brain; without contrast material | $25.80M |
| 36 | H2022 | Community-based wrap-around services, per diem | $23.33M |
| 37 | A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | $23.18M |
| 38 | S9124 | Nursing care, in the home; by licensed practical nurse, per hour | $22.52M |
| 39 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $22.07M |
| 40 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $21.11M |
| 41 | 99233 | Prolong inpt eval add15 m | $20.41M |
| 42 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $18.48M |
| 43 | 99232 | Subsequent hospital care, per day, moderate complexity | $17.90M |
| 44 | 99281 | Emergency department visit for the evaluation and management, self-limited or minor | $17.46M |
| 45 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $16.56M |
| 46 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $16.14M |
| 47 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $15.70M |
| 48 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $14.94M |
| 49 | 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 | $14.91M |
| 50 | G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | $14.31M |
| 51 | D1110 | Prophylaxis - adult | $14.26M |
| 52 | H0040 | Assertive community treatment program, per diem | $14.04M |
| 53 | A0425 | Ground mileage, per statute mile | $11.95M |
| 54 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $11.89M |
| 55 | 90834 | Psychotherapy, 45 minutes with patient | $11.76M |
| 56 | D0120 | Periodic oral evaluation - established patient | $11.73M |
| 57 | 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | $11.60M |
| 58 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $11.50M |
| 59 | T2019 | Habilitation, supported employment, waiver; per 15 minutes | $11.43M |
| 60 | S9485 | Crisis intervention mental health services, per diem | $11.25M |
| 61 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $10.94M |
| 62 | G0378 | Hospital observation service, per hour | $10.25M |
| 63 | T2022 | Case management, per month | $10.20M |
| 64 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $10.19M |
| 65 | 90791 | Psychiatric diagnostic evaluation | $10.07M |
| 66 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $10.01M |
| 67 | D1120 | Prophylaxis - child | $9.59M |
| 68 | 59025 | Fetal non-stress test | $9.35M |
| 69 | S9451 | Exercise classes, non-physician provider, per session | $9.26M |
| 70 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $8.81M |
| 71 | 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | $8.68M |
| 72 | 45380 | Colonoscopy, flexible; with biopsy, single or multiple | $8.67M |
| 73 | 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | $8.38M |
| 74 | J9271 | Injection, pembrolizumab, 1 mg | $7.99M |
| 75 | 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | $7.78M |
| 76 | 99223 | Prolong inpt eval add15 m | $7.75M |
| 77 | 71275 | Computed tomographic angiography, chest, with contrast material | $7.38M |
| 78 | A4554 | Disposable underpads, all sizes | $7.35M |
| 79 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $7.23M |
| 80 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $7.19M |
| 81 | 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | $7.07M |
| 82 | 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | $7.02M |
| 83 | D8080 | Comprehensive orthodontic treatment of the adolescent dentition | $6.85M |
| 84 | D0150 | Comprehensive oral evaluation - new or established patient | $6.72M |
| 85 | 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | $6.50M |
| 86 | 74176 | Computed tomography, abdomen and pelvis; without contrast material | $6.50M |
| 87 | 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | $6.37M |
| 88 | D0999 | Unspecified diagnostic procedure, by report | $6.31M |
| 89 | S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | $6.29M |
| 90 | 97150 | Therapeutic procedure(s), group (2 or more individuals) | $6.23M |
| 91 | T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | $6.03M |
| 92 | D0274 | Bitewings - four radiographic images | $5.92M |
| 93 | D1208 | Topical application of fluoride, excluding varnish | $5.89M |
| 94 | 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | $5.68M |
| 95 | 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | $5.56M |
| 96 | 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | $5.49M |
| 97 | D2750 | $5.44M | |
| 98 | T2023 | Targeted case management; per month | $5.39M |
| 99 | 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | $5.38M |
| 100 | T2015 | Habilitation, prevocational, waiver; per hour | $5.37M |
| 101 | H2014 | Skills training and development, per 15 minutes | $5.36M |
| 102 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $5.26M |
| 103 | 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | $5.24M |
| 104 | 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | $5.23M |
| 105 | D2930 | Prefabricated stainless steel crown - primary tooth | $5.16M |
| 106 | 77067 | Screening mammography, bilateral, including computer-aided detection | $4.91M |
| 107 | S5170 | Home delivered meals, including preparation; per meal | $4.88M |
| 108 | D1206 | Topical application of fluoride varnish | $4.81M |
| 109 | H0002 | Behavioral health screening to determine eligibility for admission to treatment program | $4.70M |
| 110 | D3330 | Endodontic therapy, molar tooth (excluding final restoration) | $4.56M |
| 111 | D0330 | Panoramic radiographic image | $4.49M |
| 112 | T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | $4.42M |
| 113 | 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | $4.36M |
| 114 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $4.16M |
| 115 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $4.12M |
| 116 | D0140 | Limited oral evaluation - problem focused | $4.08M |
| 117 | 97535 | Self-care/home management training, each 15 minutes | $3.95M |
| 118 | 70551 | Magnetic resonance imaging, brain; without contrast material | $3.95M |
| 119 | 90832 | Psychotherapy, 30 minutes with patient | $3.85M |
| 120 | 71046 | Radiologic examination, chest; 2 views | $3.74M |
| 121 | 97162 | $3.73M | |
| 122 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $3.72M |
| 123 | 95810 | Polysomnography; sleep staging with 4 or more additional parameters | $3.68M |
| 124 | D0272 | Bitewings - two radiographic images | $3.67M |
| 125 | D0220 | Intraoral - periapical first radiographic image | $3.63M |
| 126 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $3.62M |
| 127 | 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | $3.60M |
| 128 | 90853 | Group psychotherapy (other than of a multiple-family group) | $3.56M |
| 129 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $3.44M |
| 130 | 90792 | Psychiatric diagnostic evaluation with medical services | $3.43M |
| 131 | H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | $3.36M |
| 132 | H2027 | Psychoeducational service, per 15 minutes | $3.35M |
| 133 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $3.32M |
| 134 | 19083 | $3.29M | |
| 135 | A4927 | Gloves, non-sterile, per 100 | $3.28M |
| 136 | 97161 | $3.28M | |
| 137 | 20610 | $3.20M | |
| 138 | 77063 | Screening digital breast tomosynthesis, bilateral | $3.18M |
| 139 | 99205 | Prolong outpt/office vis | $3.18M |
| 140 | G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | $3.11M |
| 141 | 99244 | Office or other outpatient consultation, moderate to high complexity | $3.08M |
| 142 | D4249 | $3.08M | |
| 143 | 96131 | $3.07M | |
| 144 | H0005 | Alcohol and/or drug services; group counseling by a clinician | $3.02M |
| 145 | T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | $2.99M |
| 146 | 71260 | Computed tomography, thorax, diagnostic; with contrast material | $2.97M |
| 147 | G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | $2.96M |
| 148 | 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 | $2.90M |
| 149 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $2.87M |
| 150 | 76705 | Ultrasound, abdominal, real time with image documentation; limited | $2.87M |
| 151 | 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | $2.86M |
| 152 | 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $2.81M |
| 153 | 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | $2.81M |
| 154 | 77412 | $2.77M | |
| 155 | D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | $2.77M |
| 156 | T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | $2.76M |
| 157 | 78815 | Positron emission tomography (PET) for limited area imaging | $2.75M |
| 158 | D1351 | Sealant - per tooth | $2.71M |
| 159 | 76830 | Ultrasound, transvaginal | $2.69M |
| 160 | S9470 | Nutritional counseling, dietitian visit | $2.68M |
| 161 | 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | $2.67M |
| 162 | 77386 | $2.65M | |
| 163 | T2017 | Habilitation, residential, waiver; 15 minutes | $2.61M |
| 164 | S9125 | Respite care, in the home, per diem | $2.55M |
| 165 | 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | $2.53M |
| 166 | 76700 | Ultrasound, abdominal, real time with image documentation; complete | $2.51M |
| 167 | 76642 | $2.50M | |
| 168 | 71045 | Radiologic examination, chest; single view | $2.47M |
| 169 | H2011 | Crisis intervention service, per 15 minutes | $2.43M |
| 170 | 99231 | Subsequent hospital care, per day, straightforward or low complexity | $2.40M |
| 171 | 96415 | $2.40M | |
| 172 | 93971 | $2.37M | |
| 173 | 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | $2.30M |
| 174 | 93970 | $2.22M | |
| 175 | Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | $2.21M |
| 176 | G9012 | Other specified case management service not elsewhere classified | $2.17M |
| 177 | D9310 | $2.17M | |
| 178 | T1017 | Targeted case management, each 15 minutes | $2.16M |
| 179 | C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | $2.16M |
| 180 | D7140 | Extraction, erupted tooth or exposed root | $2.15M |
| 181 | V2784 | Lens, polycarbonate or equal, any index, per lens | $2.14M |
| 182 | D0230 | Intraoral - periapical each additional radiographic image | $2.14M |
| 183 | A6260 | Wound cleansers, any type, any size | $2.11M |
| 184 | 99308 | Subsequent nursing facility care, per day, straightforward | $2.07M |
| 185 | 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | $2.06M |
| 186 | T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | $2.05M |
| 187 | 92550 | $2.02M | |
| 188 | 97116 | $2.00M | |
| 189 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $1.97M |
| 190 | 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | $1.96M |
| 191 | 76770 | $1.93M | |
| 192 | 99222 | Initial hospital care, per day, moderate complexity | $1.90M |
| 193 | 99243 | $1.86M | |
| 194 | 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | $1.86M |
| 195 | S9484 | Crisis intervention mental health services, per hour | $1.86M |
| 196 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $1.85M |
| 197 | J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | $1.84M |
| 198 | 41899 | Unlisted procedure, dentoalveolar structures | $1.82M |
| 199 | 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | $1.77M |
| 200 | 97010 | $1.75M |