All 2,320 procedure codes billed by Medicaid providers in Iowa, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | H2016 | Comprehensive community support services, per diem | $2.67B |
| 2 | S5136 | Companion care, adult (e.g., iadl/adl); per diem | $1.46B |
| 3 | T1015 | Clinic visit/encounter, all-inclusive | $931.97M |
| 4 | S5170 | Home delivered meals, including preparation; per meal | $882.53M |
| 5 | T2020 | Day habilitation, waiver; per diem | $307.98M |
| 6 | 90834 | Psychotherapy, 45 minutes with patient | $231.87M |
| 7 | 99284 | Emergency department visit for the evaluation and management, high severity | $222.93M |
| 8 | 99490 | Ccm add 20min | $216.90M |
| 9 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $201.92M |
| 10 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $198.00M |
| 11 | H2015 | Comprehensive community support services, per 15 minutes | $177.01M |
| 12 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $167.00M |
| 13 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $165.69M |
| 14 | 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) | $152.82M |
| 15 | A0999 | Unlisted ambulance service | $141.99M |
| 16 | H2019 | Therapeutic behavioral services, per 15 minutes | $137.13M |
| 17 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $130.15M |
| 18 | H2025 | Ongoing support to maintain employment, per 15 minutes | $123.41M |
| 19 | D9999 | Unspecified adjunctive procedure, by report | $109.72M |
| 20 | 90837 | Psychotherapy, 53 minutes with patient | $88.52M |
| 21 | 96159 | $72.17M | |
| 22 | S5125 | Attendant care services; per 15 minutes | $70.71M |
| 23 | 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 | $69.78M |
| 24 | S5150 | Unskilled respite care, not hospice; per 15 minutes | $67.57M |
| 25 | E2510 | Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access | $56.84M |
| 26 | 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | $55.92M |
| 27 | H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | $55.80M |
| 28 | H0040 | Assertive community treatment program, per diem | $55.16M |
| 29 | D0999 | Unspecified diagnostic procedure, by report | $54.66M |
| 30 | W1760 | $50.09M | |
| 31 | 96165 | $41.76M | |
| 32 | 90791 | Psychiatric diagnostic evaluation | $40.53M |
| 33 | T2021 | Day habilitation, waiver; per 15 minutes | $39.85M |
| 34 | 96152 | $36.33M | |
| 35 | 96153 | $35.70M | |
| 36 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $33.73M |
| 37 | T1017 | Targeted case management, each 15 minutes | $31.92M |
| 38 | S5126 | Attendant care services; per diem | $30.91M |
| 39 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $29.89M |
| 40 | 90853 | Group psychotherapy (other than of a multiple-family group) | $28.55M |
| 41 | D0120 | Periodic oral evaluation - established patient | $28.40M |
| 42 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $28.20M |
| 43 | D1120 | Prophylaxis - child | $25.18M |
| 44 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $24.29M |
| 45 | H2034 | Alcohol and/or drug abuse halfway house services, per diem | $23.31M |
| 46 | D1110 | Prophylaxis - adult | $23.31M |
| 47 | 90832 | Psychotherapy, 30 minutes with patient | $22.60M |
| 48 | 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) | $21.65M |
| 49 | 90792 | Psychiatric diagnostic evaluation with medical services | $21.30M |
| 50 | S5102 | Day care services, adult; per diem | $20.90M |
| 51 | D1206 | Topical application of fluoride varnish | $20.83M |
| 52 | H0037 | Community psychiatric supportive treatment program, per diem | $20.82M |
| 53 | T2031 | Assisted living; waiver, per diem | $20.36M |
| 54 | G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | $20.12M |
| 55 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $19.91M |
| 56 | A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | $19.73M |
| 57 | T1005 | Respite care services, up to 15 minutes | $19.55M |
| 58 | 99232 | Subsequent hospital care, per day, moderate complexity | $19.41M |
| 59 | H0033 | Oral medication administration, direct observation | $19.14M |
| 60 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $19.06M |
| 61 | S0215 | Non-emergency transportation; mileage, per mile | $18.78M |
| 62 | 90460 | Immunization administration through 18 years of age via any route, first or only component | $18.07M |
| 63 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $17.81M |
| 64 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $17.62M |
| 65 | T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | $17.19M |
| 66 | D2930 | Prefabricated stainless steel crown - primary tooth | $17.05M |
| 67 | G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | $16.96M |
| 68 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $16.85M |
| 69 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $16.58M |
| 70 | D8080 | Comprehensive orthodontic treatment of the adolescent dentition | $15.80M |
| 71 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $15.77M |
| 72 | H2023 | Supported employment, per 15 minutes | $15.73M |
| 73 | S5130 | Homemaker service, nos; per 15 minutes | $15.69M |
| 74 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $15.52M |
| 75 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $15.37M |
| 76 | D7140 | Extraction, erupted tooth or exposed root | $15.05M |
| 77 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $14.79M |
| 78 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $13.94M |
| 79 | A0130 | Non-emergency transportation: wheelchair van | $13.92M |
| 80 | E0601 | Continuous positive airway pressure (cpap) device | $12.83M |
| 81 | W0560 | $12.66M | |
| 82 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $12.62M |
| 83 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $12.52M |
| 84 | A0110 | Non-emergency transportation and bus, intra or inter state carrier | $12.48M |
| 85 | T2015 | Habilitation, prevocational, waiver; per hour | $12.34M |
| 86 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $12.28M |
| 87 | 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 | $11.96M |
| 88 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $11.61M |
| 89 | D1351 | Sealant - per tooth | $11.58M |
| 90 | A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | $11.50M |
| 91 | 0202U | Oncology (prostate), multianalyte, gene expression profiling | $11.22M |
| 92 | J0585 | Injection, onabotulinumtoxina, 1 unit | $11.00M |
| 93 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $10.99M |
| 94 | A0100 | Non-emergency transportation; taxi | $10.88M |
| 95 | 80053 | Comprehensive metabolic panel | $10.82M |
| 96 | 99215 | Prolong outpt/office vis | $10.78M |
| 97 | S0109 | Methadone, oral, 5 mg | $10.73M |
| 98 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $10.33M |
| 99 | T2003 | Non-emergency transportation; encounter/trip | $10.29M |
| 100 | 96158 | $10.20M | |
| 101 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $10.12M |
| 102 | 96127 | $10.02M | |
| 103 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $9.80M |
| 104 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $9.69M |
| 105 | A0425 | Ground mileage, per statute mile | $9.54M |
| 106 | V2020 | Frames, purchases | $9.29M |
| 107 | 90847 | Family psychotherapy with the patient present, 50 minutes | $9.14M |
| 108 | 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | $8.94M |
| 109 | 36415 | Collection of venous blood by venipuncture | $8.77M |
| 110 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $8.55M |
| 111 | T2001 | Non-emergency transportation; patient attendant/escort | $8.45M |
| 112 | 98940 | $8.24M | |
| 113 | J0178 | Injection, aflibercept, 1 mg | $8.17M |
| 114 | 71046 | Radiologic examination, chest; 2 views | $8.11M |
| 115 | S9485 | Crisis intervention mental health services, per diem | $8.02M |
| 116 | 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | $8.00M |
| 117 | T1016 | Case management, each 15 minutes | $7.49M |
| 118 | G9012 | Other specified case management service not elsewhere classified | $7.44M |
| 119 | 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 | $7.35M |
| 120 | 96361 | Intravenous infusion, hydration; each additional hour | $7.21M |
| 121 | D0274 | Bitewings - four radiographic images | $7.10M |
| 122 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $7.00M |
| 123 | 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | $6.95M |
| 124 | G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | $6.93M |
| 125 | 99233 | Prolong inpt eval add15 m | $6.79M |
| 126 | D0150 | Comprehensive oral evaluation - new or established patient | $6.79M |
| 127 | J0575 | Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine | $6.71M |
| 128 | A7030 | Full face mask used with positive airway pressure device, each | $6.67M |
| 129 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $6.65M |
| 130 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $6.62M |
| 131 | 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | $6.56M |
| 132 | 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | $6.51M |
| 133 | D1208 | Topical application of fluoride, excluding varnish | $6.29M |
| 134 | J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | $6.27M |
| 135 | 67028 | Intravitreal injection of a pharmacologic agent | $6.16M |
| 136 | 70450 | Computed tomography, head or brain; without contrast material | $6.15M |
| 137 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $6.12M |
| 138 | 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | $5.97M |
| 139 | 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | $5.96M |
| 140 | 96164 | $5.91M | |
| 141 | A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | $5.84M |
| 142 | H0017 | Behavioral health; residential (hospital residential treatment program), without room and board, per diem | $5.75M |
| 143 | A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | $5.69M |
| 144 | 71045 | Radiologic examination, chest; single view | $5.63M |
| 145 | D0140 | Limited oral evaluation - problem focused | $5.51M |
| 146 | 20610 | $5.50M | |
| 147 | 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | $5.38M |
| 148 | 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | $5.07M |
| 149 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $5.05M |
| 150 | D0272 | Bitewings - two radiographic images | $5.03M |
| 151 | D7240 | Removal of impacted tooth - completely bony | $5.03M |
| 152 | 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | $4.88M |
| 153 | E0570 | Nebulizer, with compressor | $4.69M |
| 154 | T2018 | Habilitation, supported employment, waiver; per diem | $4.64M |
| 155 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $4.60M |
| 156 | 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | $4.58M |
| 157 | D2740 | Crown - porcelain/ceramic | $4.58M |
| 158 | 96375 | Therapeutic injection; each additional sequential IV push | $4.55M |
| 159 | S0013 | Esketamine, nasal spray, 1 mg | $4.48M |
| 160 | 99223 | Prolong inpt eval add15 m | $4.44M |
| 161 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $4.43M |
| 162 | 96110 | Developmental screening, with scoring and documentation, per standardized instrument | $4.42M |
| 163 | D0330 | Panoramic radiographic image | $4.35M |
| 164 | 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | $4.32M |
| 165 | 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | $4.32M |
| 166 | D0210 | Intraoral - complete series of radiographic images | $4.27M |
| 167 | 99480 | Subsequent intensive care, per day, low birth weight infant | $4.25M |
| 168 | Q3014 | Telehealth originating site facility fee | $4.21M |
| 169 | H0035 | Mental health partial hospitalization, treatment, less than 24 hours | $4.20M |
| 170 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $4.17M |
| 171 | Q5003 | Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) | $4.15M |
| 172 | A9274 | External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories | $4.12M |
| 173 | A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | $4.08M |
| 174 | 59025 | Fetal non-stress test | $4.06M |
| 175 | D3330 | Endodontic therapy, molar tooth (excluding final restoration) | $4.05M |
| 176 | S9977 | Meals, per diem, not otherwise specified | $3.93M |
| 177 | 77067 | Screening mammography, bilateral, including computer-aided detection | $3.89M |
| 178 | 87428 | $3.88M | |
| 179 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $3.82M |
| 180 | G0330 | Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room | $3.80M |
| 181 | A7031 | Face mask interface, replacement for full face mask, each | $3.80M |
| 182 | D0220 | Intraoral - periapical first radiographic image | $3.74M |
| 183 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $3.71M |
| 184 | T2036 | Therapeutic camping, overnight, waiver; each session | $3.67M |
| 185 | E0562 | Humidifier, heated, used with positive airway pressure device | $3.67M |
| 186 | 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) | $3.62M |
| 187 | T2029 | Specialized medical equipment, not otherwise specified, waiver | $3.53M |
| 188 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $3.48M |
| 189 | 99238 | Hospital discharge day management, 30 minutes or less | $3.44M |
| 190 | D0190 | $3.44M | |
| 191 | J1726 | Injection, hydroxyprogesterone caproate, (makena), 10 mg | $3.42M |
| 192 | T2016 | Habilitation, residential, waiver; per diem | $3.31M |
| 193 | E0603 | Breast pump, electric (ac and/or dc), any type | $3.20M |
| 194 | 90686 | $3.19M | |
| 195 | 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | $3.17M |
| 196 | 99231 | Subsequent hospital care, per day, straightforward or low complexity | $3.09M |
| 197 | T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | $3.06M |
| 198 | H0046 | Mental health services, not otherwise specified | $3.04M |
| 199 | T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | $3.03M |
| 200 | T1013 | Sign language or oral interpretive services, per 15 minutes | $3.03M |