Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

Billing Codes in Guam

All 422 procedure codes billed by Medicaid providers in Guam, ranked by total spending.

#CodeDescriptionTotal 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