All 4,739 procedure codes billed by Medicaid providers in Florida, 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) | $1.91B |
| 2 | S9124 | Nursing care, in the home; by licensed practical nurse, per hour | $1.52B |
| 3 | S5130 | Homemaker service, nos; per 15 minutes | $1.45B |
| 4 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $1.28B |
| 5 | H2019 | Therapeutic behavioral services, per 15 minutes | $1.04B |
| 6 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $1.00B |
| 7 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $939.57M |
| 8 | T2030 | Assisted living, waiver; per month | $889.50M |
| 9 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $886.47M |
| 10 | T1017 | Targeted case management, each 15 minutes | $849.97M |
| 11 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $838.68M |
| 12 | 99284 | Emergency department visit for the evaluation and management, high severity | $780.03M |
| 13 | S9122 | Home health aide or certified nurse assistant, providing care in the home; per hour | $771.97M |
| 14 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $730.83M |
| 15 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $729.14M |
| 16 | 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) | $666.36M |
| 17 | T1025 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem | $549.13M |
| 18 | T1004 | Services of a qualified nursing aide, up to 15 minutes | $489.96M |
| 19 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $489.17M |
| 20 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $434.39M |
| 21 | H2014 | Skills training and development, per 15 minutes | $404.39M |
| 22 | Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | $372.91M |
| 23 | T2023 | Targeted case management; per month | $331.69M |
| 24 | S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | $321.97M |
| 25 | S5102 | Day care services, adult; per diem | $317.10M |
| 26 | A4657 | Syringe, with or without needle, each | $304.56M |
| 27 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $240.42M |
| 28 | T2046 | Hospice long term care, room and board only; per diem | $239.11M |
| 29 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $238.32M |
| 30 | J1270 | Injection, doxercalciferol, 1 mcg | $227.35M |
| 31 | T1015 | Clinic visit/encounter, all-inclusive | $213.34M |
| 32 | A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | $202.63M |
| 33 | H1000 | Prenatal care, at-risk assessment | $201.44M |
| 34 | S5170 | Home delivered meals, including preparation; per meal | $196.88M |
| 35 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $192.26M |
| 36 | Q5003 | Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) | $159.12M |
| 37 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $158.96M |
| 38 | 99232 | Subsequent hospital care, per day, moderate complexity | $146.93M |
| 39 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $145.86M |
| 40 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $131.77M |
| 41 | 99233 | Prolong inpt eval add15 m | $130.78M |
| 42 | T2016 | Habilitation, residential, waiver; per diem | $128.17M |
| 43 | 80053 | Comprehensive metabolic panel | $124.13M |
| 44 | S5150 | Unskilled respite care, not hospice; per 15 minutes | $123.95M |
| 45 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $115.78M |
| 46 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $109.43M |
| 47 | J1756 | Injection, iron sucrose, 1 mg | $108.67M |
| 48 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $107.97M |
| 49 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $107.19M |
| 50 | H0032 | Mental health service plan development by non-physician | $105.71M |
| 51 | H0031 | Mental health assessment, by non-physician | $103.31M |
| 52 | S5100 | Day care services, adult; per 15 minutes | $103.30M |
| 53 | A0100 | Non-emergency transportation; taxi | $102.19M |
| 54 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $99.68M |
| 55 | T1021 | Home health aide or certified nurse assistant, per visit | $98.45M |
| 56 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $94.96M |
| 57 | 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | $92.63M |
| 58 | 70450 | Computed tomography, head or brain; without contrast material | $91.53M |
| 59 | D2930 | Prefabricated stainless steel crown - primary tooth | $90.63M |
| 60 | 99223 | Prolong inpt eval add15 m | $85.38M |
| 61 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $83.10M |
| 62 | 90460 | Immunization administration through 18 years of age via any route, first or only component | $80.80M |
| 63 | 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) | $76.16M |
| 64 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $76.07M |
| 65 | 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | $75.71M |
| 66 | 99215 | Prolong outpt/office vis | $74.82M |
| 67 | 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 | $74.48M |
| 68 | 36415 | Collection of venous blood by venipuncture | $72.14M |
| 69 | D1120 | Prophylaxis - child | $69.93M |
| 70 | D0120 | Periodic oral evaluation - established patient | $68.96M |
| 71 | S9083 | Global fee urgent care centers | $68.75M |
| 72 | 96361 | Intravenous infusion, hydration; each additional hour | $68.19M |
| 73 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $67.17M |
| 74 | H2000 | Comprehensive multidisciplinary evaluation | $66.36M |
| 75 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $65.63M |
| 76 | G9012 | Other specified case management service not elsewhere classified | $65.48M |
| 77 | 85018 | $63.37M | |
| 78 | D1110 | Prophylaxis - adult | $63.27M |
| 79 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $60.63M |
| 80 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $59.29M |
| 81 | 97535 | Self-care/home management training, each 15 minutes | $58.62M |
| 82 | 74176 | Computed tomography, abdomen and pelvis; without contrast material | $58.08M |
| 83 | 84520 | $56.56M | |
| 84 | 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 | $54.94M |
| 85 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $54.84M |
| 86 | S5145 | Foster care, therapeutic, child; per diem | $52.32M |
| 87 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $51.52M |
| 88 | 83540 | $51.20M | |
| 89 | 83970 | $51.04M | |
| 90 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $49.59M |
| 91 | T1027 | Family training and counseling for child development, per 15 minutes | $48.77M |
| 92 | E0784 | External ambulatory infusion pump, insulin | $48.59M |
| 93 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $47.72M |
| 94 | A0425 | Ground mileage, per statute mile | $47.61M |
| 95 | 99479 | Subsequent intensive care, per day, very low birth weight infant | $47.29M |
| 96 | A0130 | Non-emergency transportation: wheelchair van | $46.83M |
| 97 | D0150 | Comprehensive oral evaluation - new or established patient | $46.63M |
| 98 | A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | $45.75M |
| 99 | 90837 | Psychotherapy, 53 minutes with patient | $44.27M |
| 100 | G0378 | Hospital observation service, per hour | $44.18M |
| 101 | 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | $43.75M |
| 102 | 83550 | $43.14M | |
| 103 | D7140 | Extraction, erupted tooth or exposed root | $42.11M |
| 104 | J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | $41.24M |
| 105 | J1644 | Injection, heparin sodium, per 1000 units | $40.74M |
| 106 | 82728 | $40.51M | |
| 107 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $40.14M |
| 108 | H0040 | Assertive community treatment program, per diem | $40.12M |
| 109 | E1399 | Durable medical equipment, miscellaneous | $39.63M |
| 110 | T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | $38.71M |
| 111 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $38.69M |
| 112 | D0330 | Panoramic radiographic image | $38.12M |
| 113 | 84100 | $37.30M | |
| 114 | Q0508 | Miscellaneous supply or accessory for use with an implanted ventricular assist device | $37.20M |
| 115 | 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $36.76M |
| 116 | J2501 | Injection, paricalcitol, 1 mcg | $36.43M |
| 117 | T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | $36.06M |
| 118 | 80048 | Basic metabolic panel (calcium, ionized) | $35.05M |
| 119 | 99222 | Initial hospital care, per day, moderate complexity | $35.01M |
| 120 | 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | $34.81M |
| 121 | 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | $34.72M |
| 122 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $34.51M |
| 123 | A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | $34.42M |
| 124 | A4554 | Disposable underpads, all sizes | $34.36M |
| 125 | T2003 | Non-emergency transportation; encounter/trip | $34.20M |
| 126 | 59410 | $33.89M | |
| 127 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $33.87M |
| 128 | 81479 | Unlisted molecular pathology procedure | $33.84M |
| 129 | 82310 | $33.74M | |
| 130 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $33.32M |
| 131 | A4230 | Infusion set for external insulin pump, non needle cannula type | $33.04M |
| 132 | 99480 | Subsequent intensive care, per day, low birth weight infant | $33.01M |
| 133 | 97116 | $32.66M | |
| 134 | 99308 | Subsequent nursing facility care, per day, straightforward | $31.53M |
| 135 | 99281 | Emergency department visit for the evaluation and management, self-limited or minor | $31.21M |
| 136 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $31.04M |
| 137 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $30.69M |
| 138 | A4353 | Intermittent urinary catheter, with insertion supplies | $29.79M |
| 139 | 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 | $29.70M |
| 140 | V2020 | Frames, purchases | $29.39M |
| 141 | Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | $28.93M |
| 142 | 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | $28.63M |
| 143 | 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | $27.83M |
| 144 | 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | $27.76M |
| 145 | 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | $27.76M |
| 146 | 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 | $27.28M |
| 147 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $27.20M |
| 148 | 97156 | $27.02M | |
| 149 | Q5001 | Hospice or home health care provided in patient's home/residence | $27.01M |
| 150 | E0570 | Nebulizer, with compressor | $26.98M |
| 151 | 0202U | Oncology (prostate), multianalyte, gene expression profiling | $26.77M |
| 152 | 71045 | Radiologic examination, chest; single view | $26.73M |
| 153 | 99244 | Office or other outpatient consultation, moderate to high complexity | $26.28M |
| 154 | 71046 | Radiologic examination, chest; 2 views | $25.23M |
| 155 | 81220 | CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants | $25.12M |
| 156 | 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 | $24.72M |
| 157 | D9420 | $24.65M | |
| 158 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $24.48M |
| 159 | 99238 | Hospital discharge day management, 30 minutes or less | $23.61M |
| 160 | 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | $23.37M |
| 161 | 84155 | $23.30M | |
| 162 | 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | $23.16M |
| 163 | 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | $23.14M |
| 164 | E0601 | Continuous positive airway pressure (cpap) device | $22.93M |
| 165 | 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | $22.85M |
| 166 | H2020 | Therapeutic behavioral services, per diem | $22.60M |
| 167 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $22.55M |
| 168 | 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | $22.36M |
| 169 | 82040 | $22.33M | |
| 170 | 95810 | Polysomnography; sleep staging with 4 or more additional parameters | $22.26M |
| 171 | T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | $22.13M |
| 172 | S5161 | Emergency response system; service fee, per month (excludes installation and testing) | $22.08M |
| 173 | 80061 | Lipid panel | $22.05M |
| 174 | A9274 | External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories | $22.02M |
| 175 | 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | $21.90M |
| 176 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $21.68M |
| 177 | H2012 | Behavioral health day treatment, per hour | $21.66M |
| 178 | 71275 | Computed tomographic angiography, chest, with contrast material | $21.60M |
| 179 | T2042 | Hospice routine home care; per diem | $21.13M |
| 180 | 81420 | Fetal chromosomal aneuploidy genomic sequence analysis panel | $20.87M |
| 181 | V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $20.79M |
| 182 | 85041 | $20.75M | |
| 183 | K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | $20.65M |
| 184 | 85048 | $20.57M | |
| 185 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $20.56M |
| 186 | 99460 | $20.51M | |
| 187 | 82565 | $20.28M | |
| 188 | S5199 | Personal care item, nos, each | $20.27M |
| 189 | E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | $20.15M |
| 190 | 76819 | Fetal biophysical profile; without non-stress testing | $20.07M |
| 191 | 84443 | Thyroid stimulating hormone (TSH) | $20.05M |
| 192 | S5125 | Attendant care services; per 15 minutes | $19.90M |
| 193 | 92523 | $19.69M | |
| 194 | T2032 | Residential care, not otherwise specified (nos), waiver; per month | $19.11M |
| 195 | 99239 | Hospital discharge day management, more than 30 minutes | $18.86M |
| 196 | S9342 | Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | $18.68M |
| 197 | 00170 | Anesthesia for intraoral procedures, including biopsy | $18.52M |
| 198 | 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | $18.19M |
| 199 | 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | $17.90M |
| 200 | D1351 | Sealant - per tooth | $17.34M |