All 2,181 procedure codes billed by Medicaid providers in Delaware, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | S5130 | Homemaker service, nos; per 15 minutes | $530.82M |
| 2 | T2025 | Waiver services; not otherwise specified (nos) | $508.02M |
| 3 | T2016 | Habilitation, residential, waiver; per diem | $204.54M |
| 4 | S9124 | Nursing care, in the home; by licensed practical nurse, per hour | $177.24M |
| 5 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $118.12M |
| 6 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $100.32M |
| 7 | S5125 | Attendant care services; per 15 minutes | $99.64M |
| 8 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $88.18M |
| 9 | 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) | $75.48M |
| 10 | T2020 | Day habilitation, waiver; per diem | $69.78M |
| 11 | 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) | $69.19M |
| 12 | 99284 | Emergency department visit for the evaluation and management, high severity | $65.91M |
| 13 | H0040 | Assertive community treatment program, per diem | $53.18M |
| 14 | 90837 | Psychotherapy, 53 minutes with patient | $49.17M |
| 15 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $45.03M |
| 16 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $44.64M |
| 17 | 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 | $44.04M |
| 18 | H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | $42.24M |
| 19 | T2040 | Financial management, self-directed, waiver; per 15 minutes | $33.07M |
| 20 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $32.96M |
| 21 | T1025 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem | $30.76M |
| 22 | T2023 | Targeted case management; per month | $27.82M |
| 23 | G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | $25.72M |
| 24 | H2036 | Alcohol and/or other drug treatment program, per diem | $25.32M |
| 25 | D8670 | Periodic orthodontic treatment visit | $24.94M |
| 26 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $22.78M |
| 27 | 99232 | Subsequent hospital care, per day, moderate complexity | $21.38M |
| 28 | T2022 | Case management, per month | $21.30M |
| 29 | D1120 | Prophylaxis - child | $18.95M |
| 30 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $17.49M |
| 31 | D0120 | Periodic oral evaluation - established patient | $17.45M |
| 32 | T1015 | Clinic visit/encounter, all-inclusive | $17.03M |
| 33 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $16.98M |
| 34 | T2033 | Residential care, not otherwise specified (nos), waiver; per diem | $16.69M |
| 35 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $16.67M |
| 36 | 99215 | Prolong outpt/office vis | $16.22M |
| 37 | 99233 | Prolong inpt eval add15 m | $15.49M |
| 38 | S5170 | Home delivered meals, including preparation; per meal | $15.18M |
| 39 | 90834 | Psychotherapy, 45 minutes with patient | $15.16M |
| 40 | T1001 | Nursing assessment / evaluation | $15.12M |
| 41 | D1206 | Topical application of fluoride varnish | $14.97M |
| 42 | D1351 | Sealant - per tooth | $14.55M |
| 43 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $14.30M |
| 44 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $14.19M |
| 45 | S9083 | Global fee urgent care centers | $13.81M |
| 46 | T2014 | Habilitation, prevocational, waiver; per diem | $13.46M |
| 47 | D1110 | Prophylaxis - adult | $13.41M |
| 48 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $13.25M |
| 49 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $12.90M |
| 50 | T2019 | Habilitation, supported employment, waiver; per 15 minutes | $12.83M |
| 51 | 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | $12.50M |
| 52 | G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | $11.76M |
| 53 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $11.48M |
| 54 | D2930 | Prefabricated stainless steel crown - primary tooth | $11.17M |
| 55 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $10.88M |
| 56 | G0378 | Hospital observation service, per hour | $10.61M |
| 57 | H2011 | Crisis intervention service, per 15 minutes | $10.33M |
| 58 | 99281 | Emergency department visit for the evaluation and management, self-limited or minor | $10.26M |
| 59 | G0175 | Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present | $9.53M |
| 60 | 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | $9.46M |
| 61 | 41899 | Unlisted procedure, dentoalveolar structures | $9.35M |
| 62 | D8090 | $9.30M | |
| 63 | S5105 | Day care services, center-based; services not included in program fee, per diem | $9.27M |
| 64 | S5165 | Home modifications; per service | $8.99M |
| 65 | 99223 | Prolong inpt eval add15 m | $8.91M |
| 66 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $8.89M |
| 67 | H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | $8.82M |
| 68 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $8.80M |
| 69 | D8020 | $8.55M | |
| 70 | D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | $8.36M |
| 71 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $8.36M |
| 72 | G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | $8.13M |
| 73 | D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | $7.97M |
| 74 | D7140 | Extraction, erupted tooth or exposed root | $7.94M |
| 75 | D0150 | Comprehensive oral evaluation - new or established patient | $7.82M |
| 76 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $7.68M |
| 77 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $7.68M |
| 78 | D0274 | Bitewings - four radiographic images | $7.23M |
| 79 | H0037 | Community psychiatric supportive treatment program, per diem | $7.08M |
| 80 | T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | $6.96M |
| 81 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $6.62M |
| 82 | 99222 | Initial hospital care, per day, moderate complexity | $6.57M |
| 83 | 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | $6.36M |
| 84 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $6.21M |
| 85 | G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | $6.15M |
| 86 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $6.08M |
| 87 | D8660 | $5.92M | |
| 88 | T2002 | Non-emergency transportation; per diem | $5.83M |
| 89 | 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 | $5.78M |
| 90 | 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 | $5.68M |
| 91 | J2357 | Injection, omalizumab, 5 mg | $5.64M |
| 92 | D0272 | Bitewings - two radiographic images | $5.58M |
| 93 | 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | $5.56M |
| 94 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $5.55M |
| 95 | 80053 | Comprehensive metabolic panel | $5.54M |
| 96 | J9271 | Injection, pembrolizumab, 1 mg | $5.54M |
| 97 | J0585 | Injection, onabotulinumtoxina, 1 unit | $5.49M |
| 98 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $5.40M |
| 99 | D0330 | Panoramic radiographic image | $5.35M |
| 100 | 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | $5.33M |
| 101 | D0220 | Intraoral - periapical first radiographic image | $5.26M |
| 102 | 70450 | Computed tomography, head or brain; without contrast material | $5.21M |
| 103 | 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | $5.10M |
| 104 | T2021 | Day habilitation, waiver; per 15 minutes | $5.10M |
| 105 | G0481 | 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; 8-14 drug class(es), including metabolite(s) if performed | $5.09M |
| 106 | H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | $5.01M |
| 107 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $4.98M |
| 108 | 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | $4.88M |
| 109 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $4.81M |
| 110 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $4.78M |
| 111 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $4.75M |
| 112 | J1745 | Injection, infliximab, excludes biosimilar, 10 mg | $4.67M |
| 113 | G9008 | Coordinated care fee, physician coordinated care oversight services | $4.66M |
| 114 | D0230 | Intraoral - periapical each additional radiographic image | $4.65M |
| 115 | 90791 | Psychiatric diagnostic evaluation | $4.60M |
| 116 | H0004 | Behavioral health counseling and therapy, per 15 minutes | $4.43M |
| 117 | 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | $4.36M |
| 118 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $4.33M |
| 119 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $4.32M |
| 120 | 99205 | Prolong outpt/office vis | $4.19M |
| 121 | S5150 | Unskilled respite care, not hospice; per 15 minutes | $4.15M |
| 122 | T2030 | Assisted living, waiver; per month | $3.97M |
| 123 | H0038 | Self-help/peer services, per 15 minutes | $3.93M |
| 124 | 76819 | Fetal biophysical profile; without non-stress testing | $3.92M |
| 125 | D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | $3.88M |
| 126 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $3.75M |
| 127 | G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | $3.63M |
| 128 | 99238 | Hospital discharge day management, 30 minutes or less | $3.60M |
| 129 | 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | $3.56M |
| 130 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $3.53M |
| 131 | 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | $3.51M |
| 132 | S9128 | Speech therapy, in the home, per diem | $3.46M |
| 133 | 96375 | Therapeutic injection; each additional sequential IV push | $3.45M |
| 134 | 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | $3.32M |
| 135 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $3.21M |
| 136 | D0140 | Limited oral evaluation - problem focused | $3.21M |
| 137 | 90847 | Family psychotherapy with the patient present, 50 minutes | $3.20M |
| 138 | S9485 | Crisis intervention mental health services, per diem | $3.09M |
| 139 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $2.98M |
| 140 | V2020 | Frames, purchases | $2.95M |
| 141 | 90832 | Psychotherapy, 30 minutes with patient | $2.95M |
| 142 | 96361 | Intravenous infusion, hydration; each additional hour | $2.95M |
| 143 | 71045 | Radiologic examination, chest; single view | $2.93M |
| 144 | 93325 | $2.89M | |
| 145 | 99173 | $2.85M | |
| 146 | 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | $2.76M |
| 147 | 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | $2.70M |
| 148 | 99239 | Hospital discharge day management, more than 30 minutes | $2.70M |
| 149 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $2.65M |
| 150 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $2.62M |
| 151 | 93320 | $2.60M | |
| 152 | 80048 | Basic metabolic panel (calcium, ionized) | $2.57M |
| 153 | 99480 | Subsequent intensive care, per day, low birth weight infant | $2.57M |
| 154 | 00170 | Anesthesia for intraoral procedures, including biopsy | $2.54M |
| 155 | 71275 | Computed tomographic angiography, chest, with contrast material | $2.53M |
| 156 | 70551 | Magnetic resonance imaging, brain; without contrast material | $2.50M |
| 157 | 95810 | Polysomnography; sleep staging with 4 or more additional parameters | $2.50M |
| 158 | V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $2.48M |
| 159 | 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | $2.46M |
| 160 | 77067 | Screening mammography, bilateral, including computer-aided detection | $2.45M |
| 161 | 01922 | $2.44M | |
| 162 | 99231 | Subsequent hospital care, per day, straightforward or low complexity | $2.43M |
| 163 | 74176 | Computed tomography, abdomen and pelvis; without contrast material | $2.41M |
| 164 | 71046 | Radiologic examination, chest; 2 views | $2.40M |
| 165 | E1399 | Durable medical equipment, miscellaneous | $2.38M |
| 166 | G0466 | Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 | $2.28M |
| 167 | H2033 | Multisystemic therapy for juveniles, per 15 minutes | $2.25M |
| 168 | S9131 | Physical therapy; in the home, per diem | $2.25M |
| 169 | 90686 | $2.24M | |
| 170 | 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | $2.24M |
| 171 | T2015 | Habilitation, prevocational, waiver; per hour | $2.22M |
| 172 | 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | $2.16M |
| 173 | 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | $2.15M |
| 174 | 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | $2.15M |
| 175 | 76801 | $2.14M | |
| 176 | G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | $2.13M |
| 177 | 36415 | Collection of venous blood by venipuncture | $2.13M |
| 178 | 96110 | Developmental screening, with scoring and documentation, per standardized instrument | $2.06M |
| 179 | 59514 | $2.04M | |
| 180 | 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 | $2.01M |
| 181 | 99460 | $2.00M | |
| 182 | 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | $1.98M |
| 183 | 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | $1.97M |
| 184 | J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | $1.89M |
| 185 | 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | $1.81M |
| 186 | V5008 | Hearing screening | $1.80M |
| 187 | 43775 | $1.80M | |
| 188 | Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | $1.80M |
| 189 | 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $1.79M |
| 190 | 76830 | Ultrasound, transvaginal | $1.78M |
| 191 | G0482 | 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; 15-21 drug class(es), including metabolite(s) if performed | $1.77M |
| 192 | D0240 | $1.75M | |
| 193 | E0601 | Continuous positive airway pressure (cpap) device | $1.74M |
| 194 | D0210 | Intraoral - complete series of radiographic images | $1.73M |
| 195 | 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | $1.68M |
| 196 | 80050 | General health panel | $1.68M |
| 197 | 99479 | Subsequent intensive care, per day, very low birth weight infant | $1.68M |
| 198 | S5161 | Emergency response system; service fee, per month (excludes installation and testing) | $1.67M |
| 199 | 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | $1.66M |
| 200 | S9129 | Occupational therapy, in the home, per diem | $1.66M |