All 422 procedure codes billed by Medicaid providers in Guam, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $18.84M |
| 2 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $10.20M |
| 3 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $9.68M |
| 4 | D4220 | $6.76M | |
| 5 | 99284 | Emergency department visit for the evaluation and management, high severity | $6.44M |
| 6 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $6.02M |
| 7 | D2930 | Prefabricated stainless steel crown - primary tooth | $4.11M |
| 8 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $3.83M |
| 9 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $2.61M |
| 10 | D2150 | Silver amalgam - two surfaces, primary or permanent | $2.52M |
| 11 | D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | $2.44M |
| 12 | D7140 | Extraction, erupted tooth or exposed root | $2.26M |
| 13 | D1120 | Prophylaxis - child | $2.15M |
| 14 | D0150 | Comprehensive oral evaluation - new or established patient | $1.93M |
| 15 | D2940 | $1.89M | |
| 16 | 99232 | Subsequent hospital care, per day, moderate complexity | $1.48M |
| 17 | 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | $1.36M |
| 18 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $1.24M |
| 19 | D0230 | Intraoral - periapical each additional radiographic image | $1.11M |
| 20 | D1351 | Sealant - per tooth | $1.04M |
| 21 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $980K |
| 22 | D2160 | $975K | |
| 23 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $959K |
| 24 | D3120 | $958K | |
| 25 | D2140 | $940K | |
| 26 | G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | $904K |
| 27 | D0120 | Periodic oral evaluation - established patient | $880K |
| 28 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $850K |
| 29 | 99233 | Prolong inpt eval add15 m | $822K |
| 30 | D0140 | Limited oral evaluation - problem focused | $771K |
| 31 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $736K |
| 32 | 90461 | $713K | |
| 33 | 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | $710K |
| 34 | 99223 | Prolong inpt eval add15 m | $708K |
| 35 | 80048 | Basic metabolic panel (calcium, ionized) | $704K |
| 36 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $674K |
| 37 | 90460 | Immunization administration through 18 years of age via any route, first or only component | $651K |
| 38 | 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | $595K |
| 39 | D0220 | Intraoral - periapical first radiographic image | $571K |
| 40 | 80053 | Comprehensive metabolic panel | $565K |
| 41 | D2335 | $557K | |
| 42 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $489K |
| 43 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $474K |
| 44 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $471K |
| 45 | D1203 | $458K | |
| 46 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $453K |
| 47 | 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | $449K |
| 48 | D0210 | Intraoral - complete series of radiographic images | $448K |
| 49 | D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | $432K |
| 50 | D1110 | Prophylaxis - adult | $429K |
| 51 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $423K |
| 52 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $416K |
| 53 | 71045 | Radiologic examination, chest; single view | $403K |
| 54 | D0274 | Bitewings - four radiographic images | $377K |
| 55 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $369K |
| 56 | 77067 | Screening mammography, bilateral, including computer-aided detection | $363K |
| 57 | 71046 | Radiologic examination, chest; 2 views | $363K |
| 58 | J0178 | Injection, aflibercept, 1 mg | $361K |
| 59 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $350K |
| 60 | D2161 | $339K | |
| 61 | D2332 | $330K | |
| 62 | D9310 | $319K | |
| 63 | 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | $290K |
| 64 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $273K |
| 65 | 84484 | $272K | |
| 66 | D4341 | $256K | |
| 67 | 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | $254K |
| 68 | V2199 | Not otherwise classified, single vision lens | $253K |
| 69 | 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | $244K |
| 70 | 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | $239K |
| 71 | 90935 | Hemodialysis procedure with single evaluation by a physician | $239K |
| 72 | D2950 | $226K | |
| 73 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $226K |
| 74 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $224K |
| 75 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $215K |
| 76 | 95819 | $196K | |
| 77 | 99222 | Initial hospital care, per day, moderate complexity | $195K |
| 78 | A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | $192K |
| 79 | 86580 | $180K | |
| 80 | 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | $178K |
| 81 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $177K |
| 82 | 99383 | $175K | |
| 83 | D0272 | Bitewings - two radiographic images | $166K |
| 84 | J0561 | Injection, penicillin g benzathine, 100,000 units | $163K |
| 85 | 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | $158K |
| 86 | 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | $152K |
| 87 | 99239 | Hospital discharge day management, more than 30 minutes | $152K |
| 88 | D1510 | $150K | |
| 89 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $149K |
| 90 | 76641 | $144K | |
| 91 | 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | $141K |
| 92 | 99281 | Emergency department visit for the evaluation and management, self-limited or minor | $139K |
| 93 | 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | $136K |
| 94 | D2330 | $129K | |
| 95 | 36902 | $127K | |
| 96 | 99238 | Hospital discharge day management, 30 minutes or less | $124K |
| 97 | 90961 | $122K | |
| 98 | 95816 | $120K | |
| 99 | 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | $120K |
| 100 | 90472 | Immunization administration, each additional vaccine (list separately) | $117K |
| 101 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $109K |
| 102 | 70450 | Computed tomography, head or brain; without contrast material | $105K |
| 103 | 84443 | Thyroid stimulating hormone (TSH) | $99K |
| 104 | 67028 | Intravitreal injection of a pharmacologic agent | $98K |
| 105 | 77063 | Screening digital breast tomosynthesis, bilateral | $90K |
| 106 | J1756 | Injection, iron sucrose, 1 mg | $85K |
| 107 | 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | $85K |
| 108 | 59410 | $80K | |
| 109 | D4355 | $80K | |
| 110 | 92015 | Determination of refractive state | $79K |
| 111 | 96910 | $77K | |
| 112 | 00142 | $76K | |
| 113 | A0425 | Ground mileage, per statute mile | $74K |
| 114 | 92250 | $73K | |
| 115 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $70K |
| 116 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $70K |
| 117 | G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | $64K |
| 118 | A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | $63K |
| 119 | J1050 | Injection, medroxyprogesterone acetate, 1 mg | $62K |
| 120 | Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | $62K |
| 121 | 81001 | $61K | |
| 122 | A4206 | Syringe with needle, sterile, 1 cc or less, each | $61K |
| 123 | 94010 | $61K | |
| 124 | 83605 | $59K | |
| 125 | 82803 | $59K | |
| 126 | 99231 | Subsequent hospital care, per day, straightforward or low complexity | $58K |
| 127 | 85396 | $55K | |
| 128 | J3490 | Unclassified drugs | $54K |
| 129 | 99384 | $52K | |
| 130 | 80076 | $52K | |
| 131 | 99215 | Prolong outpt/office vis | $51K |
| 132 | 93925 | $50K | |
| 133 | V2201 | Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens | $49K |
| 134 | 0502F | $49K | |
| 135 | 0002A | $49K | |
| 136 | K0001 | Standard wheelchair | $48K |
| 137 | 87400 | $48K | |
| 138 | 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | $48K |
| 139 | 85027 | $45K | |
| 140 | 0001A | $45K | |
| 141 | 83690 | $42K | |
| 142 | 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | $42K |
| 143 | 82728 | $40K | |
| 144 | 77080 | $40K | |
| 145 | 93990 | $40K | |
| 146 | 99460 | $39K | |
| 147 | 92134 | $39K | |
| 148 | 0004A | $39K | |
| 149 | 83880 | $38K | |
| 150 | D7230 | $37K | |
| 151 | 77065 | Tomosynthesis, mammo | $36K |
| 152 | J2785 | Injection, regadenoson, 0.1 mg | $36K |
| 153 | 74178 | $35K | |
| 154 | 71271 | $34K | |
| 155 | D9221 | $34K | |
| 156 | D2331 | $33K | |
| 157 | G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | $33K |
| 158 | E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | $32K |
| 159 | 99221 | $31K | |
| 160 | 0071A | $31K | |
| 161 | 80061 | Lipid panel | $30K |
| 162 | 66982 | $29K | |
| 163 | A4211 | Supplies for self-administered injections | $29K |
| 164 | 0072A | $28K | |
| 165 | 83021 | $28K | |
| 166 | 83735 | $26K | |
| 167 | 99349 | $26K | |
| 168 | 96375 | Therapeutic injection; each additional sequential IV push | $24K |
| 169 | 59025 | Fetal non-stress test | $23K |
| 170 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $22K |
| 171 | 83036 | Hemoglobin; glycosylated (A1C) | $22K |
| 172 | 82330 | $21K | |
| 173 | 0124A | $21K | |
| 174 | 92136 | $20K | |
| 175 | 90739 | $20K | |
| 176 | 83020 | $20K | |
| 177 | 74176 | Computed tomography, abdomen and pelvis; without contrast material | $20K |
| 178 | 95886 | $20K | |
| 179 | 93226 | $18K | |
| 180 | 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | $18K |
| 181 | 93017 | $17K | |
| 182 | G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | $17K |
| 183 | 76937 | $17K | |
| 184 | 81025 | $16K | |
| 185 | E0601 | Continuous positive airway pressure (cpap) device | $16K |
| 186 | 59426 | $15K | |
| 187 | 0064A | $15K | |
| 188 | 90474 | $15K | |
| 189 | 94729 | $14K | |
| 190 | D9220 | $14K | |
| 191 | J7050 | Infusion, normal saline solution, 250 cc | $14K |
| 192 | D3330 | Endodontic therapy, molar tooth (excluding final restoration) | $13K |
| 193 | 59430 | $13K | |
| 194 | 94726 | $12K | |
| 195 | 90688 | $12K | |
| 196 | 93016 | $12K | |
| 197 | 96127 | $12K | |
| 198 | 82962 | $11K | |
| 199 | 90945 | $10K | |
| 200 | 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | $10K |