All 3,535 procedure codes billed by Medicaid providers in Indiana, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | H2014 | Skills training and development, per 15 minutes | $1.67B |
| 2 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $956.21M |
| 3 | T2016 | Habilitation, residential, waiver; per diem | $955.12M |
| 4 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $896.52M |
| 5 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $735.35M |
| 6 | H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | $728.38M |
| 7 | 99284 | Emergency department visit for the evaluation and management, high severity | $579.82M |
| 8 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $546.12M |
| 9 | 99600 | Unlisted home visit service or procedure | $495.06M |
| 10 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $359.11M |
| 11 | 90834 | Psychotherapy, 45 minutes with patient | $340.39M |
| 12 | 90837 | Psychotherapy, 53 minutes with patient | $285.05M |
| 13 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $198.48M |
| 14 | T1016 | Case management, each 15 minutes | $196.67M |
| 15 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $179.29M |
| 16 | S5125 | Attendant care services; per 15 minutes | $167.73M |
| 17 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $154.42M |
| 18 | T1015 | Clinic visit/encounter, all-inclusive | $145.60M |
| 19 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $142.44M |
| 20 | H0004 | Behavioral health counseling and therapy, per 15 minutes | $138.72M |
| 21 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $134.78M |
| 22 | T2033 | Residential care, not otherwise specified (nos), waiver; per diem | $121.51M |
| 23 | T2022 | Case management, per month | $113.18M |
| 24 | 99232 | Subsequent hospital care, per day, moderate complexity | $110.64M |
| 25 | H2016 | Comprehensive community support services, per diem | $110.46M |
| 26 | T2048 | Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem | $110.08M |
| 27 | 90832 | Psychotherapy, 30 minutes with patient | $104.13M |
| 28 | 71045 | Radiologic examination, chest; single view | $99.77M |
| 29 | 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) | $97.49M |
| 30 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $91.68M |
| 31 | A0425 | Ground mileage, per statute mile | $87.26M |
| 32 | 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | $87.06M |
| 33 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $86.84M |
| 34 | T2020 | Day habilitation, waiver; per diem | $86.25M |
| 35 | 90791 | Psychiatric diagnostic evaluation | $85.90M |
| 36 | D1110 | Prophylaxis - adult | $82.74M |
| 37 | 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | $81.53M |
| 38 | 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 | $80.96M |
| 39 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $80.23M |
| 40 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $79.25M |
| 41 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $78.81M |
| 42 | 90853 | Group psychotherapy (other than of a multiple-family group) | $78.14M |
| 43 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $76.07M |
| 44 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $75.01M |
| 45 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $74.35M |
| 46 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $73.79M |
| 47 | D0120 | Periodic oral evaluation - established patient | $72.15M |
| 48 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $68.42M |
| 49 | D1120 | Prophylaxis - child | $66.80M |
| 50 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $65.70M |
| 51 | D2930 | Prefabricated stainless steel crown - primary tooth | $63.30M |
| 52 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $63.28M |
| 53 | 99233 | Prolong inpt eval add15 m | $62.93M |
| 54 | T2031 | Assisted living; waiver, per diem | $62.93M |
| 55 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $60.86M |
| 56 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $59.44M |
| 57 | 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | $58.68M |
| 58 | D7140 | Extraction, erupted tooth or exposed root | $57.22M |
| 59 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $54.74M |
| 60 | S5151 | Unskilled respite care, not hospice; per diem | $53.52M |
| 61 | D1351 | Sealant - per tooth | $53.41M |
| 62 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $52.07M |
| 63 | V2020 | Frames, purchases | $51.59M |
| 64 | 59425 | $50.73M | |
| 65 | 99215 | Prolong outpt/office vis | $47.83M |
| 66 | 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | $47.36M |
| 67 | 96152 | $46.92M | |
| 68 | H0047 | Alcohol and/or other drug abuse services, not otherwise specified | $46.64M |
| 69 | 59426 | $46.28M | |
| 70 | 71046 | Radiologic examination, chest; 2 views | $45.74M |
| 71 | H0035 | Mental health partial hospitalization, treatment, less than 24 hours | $44.32M |
| 72 | D1206 | Topical application of fluoride varnish | $42.81M |
| 73 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $42.49M |
| 74 | 99223 | Prolong inpt eval add15 m | $41.22M |
| 75 | D0150 | Comprehensive oral evaluation - new or established patient | $40.58M |
| 76 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $38.38M |
| 77 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $37.89M |
| 78 | E0601 | Continuous positive airway pressure (cpap) device | $33.88M |
| 79 | E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | $33.30M |
| 80 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $32.88M |
| 81 | 90847 | Family psychotherapy with the patient present, 50 minutes | $32.59M |
| 82 | D1354 | $32.38M | |
| 83 | 70450 | Computed tomography, head or brain; without contrast material | $31.93M |
| 84 | A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $31.55M |
| 85 | 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | $31.04M |
| 86 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $30.92M |
| 87 | D0274 | Bitewings - four radiographic images | $30.78M |
| 88 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $30.61M |
| 89 | D7240 | Removal of impacted tooth - completely bony | $29.91M |
| 90 | 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 | $29.81M |
| 91 | D0140 | Limited oral evaluation - problem focused | $29.44M |
| 92 | D0330 | Panoramic radiographic image | $29.17M |
| 93 | H0031 | Mental health assessment, by non-physician | $28.97M |
| 94 | D0210 | Intraoral - complete series of radiographic images | $28.79M |
| 95 | 90472 | Immunization administration, each additional vaccine (list separately) | $28.75M |
| 96 | T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | $28.38M |
| 97 | 41899 | Unlisted procedure, dentoalveolar structures | $28.38M |
| 98 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $27.36M |
| 99 | 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 | $26.43M |
| 100 | 92015 | Determination of refractive state | $25.94M |
| 101 | J0585 | Injection, onabotulinumtoxina, 1 unit | $25.80M |
| 102 | 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 | $25.77M |
| 103 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $24.93M |
| 104 | H2032 | Activity therapy, per 15 minutes | $24.50M |
| 105 | 90792 | Psychiatric diagnostic evaluation with medical services | $24.46M |
| 106 | V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | $23.84M |
| 107 | 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $23.68M |
| 108 | 99222 | Initial hospital care, per day, moderate complexity | $23.34M |
| 109 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $23.26M |
| 110 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $22.95M |
| 111 | D0272 | Bitewings - two radiographic images | $22.63M |
| 112 | E1399 | Durable medical equipment, miscellaneous | $20.84M |
| 113 | T2002 | Non-emergency transportation; per diem | $20.79M |
| 114 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $20.66M |
| 115 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $20.47M |
| 116 | C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | $19.87M |
| 117 | A7030 | Full face mask used with positive airway pressure device, each | $19.75M |
| 118 | 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | $19.74M |
| 119 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $19.47M |
| 120 | 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 | $19.36M |
| 121 | 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | $18.94M |
| 122 | D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | $18.89M |
| 123 | S5140 | Foster care, adult; per diem | $18.87M |
| 124 | D1208 | Topical application of fluoride, excluding varnish | $18.52M |
| 125 | 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | $18.35M |
| 126 | 96361 | Intravenous infusion, hydration; each additional hour | $18.15M |
| 127 | 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | $17.98M |
| 128 | 80053 | Comprehensive metabolic panel | $17.67M |
| 129 | D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | $17.50M |
| 130 | E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | $16.93M |
| 131 | 99239 | Hospital discharge day management, more than 30 minutes | $16.87M |
| 132 | T2015 | Habilitation, prevocational, waiver; per hour | $16.87M |
| 133 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $16.69M |
| 134 | E2402 | Negative pressure wound therapy electrical pump, stationary or portable | $16.50M |
| 135 | S5130 | Homemaker service, nos; per 15 minutes | $16.34M |
| 136 | H0034 | Medication training and support, per 15 minutes | $15.89M |
| 137 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $15.86M |
| 138 | 97130 | $15.78M | |
| 139 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $15.39M |
| 140 | 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 | $15.05M |
| 141 | 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | $14.75M |
| 142 | 99218 | $14.72M | |
| 143 | 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | $14.65M |
| 144 | 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 | $14.63M |
| 145 | 99238 | Hospital discharge day management, 30 minutes or less | $14.59M |
| 146 | J0178 | Injection, aflibercept, 1 mg | $14.36M |
| 147 | 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | $14.24M |
| 148 | T2021 | Day habilitation, waiver; per 15 minutes | $14.07M |
| 149 | 36415 | Collection of venous blood by venipuncture | $13.61M |
| 150 | S5170 | Home delivered meals, including preparation; per meal | $13.16M |
| 151 | B4149 | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | $13.12M |
| 152 | D0220 | Intraoral - periapical first radiographic image | $13.02M |
| 153 | 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | $13.01M |
| 154 | E0562 | Humidifier, heated, used with positive airway pressure device | $13.00M |
| 155 | 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | $12.84M |
| 156 | Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | $12.79M |
| 157 | 99308 | Subsequent nursing facility care, per day, straightforward | $12.73M |
| 158 | A0436 | Rotary wing air mileage, per statute mile | $12.62M |
| 159 | 99231 | Subsequent hospital care, per day, straightforward or low complexity | $12.61M |
| 160 | 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | $12.60M |
| 161 | 99221 | $12.18M | |
| 162 | E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | $12.17M |
| 163 | D8080 | Comprehensive orthodontic treatment of the adolescent dentition | $12.15M |
| 164 | E1007 | Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction | $11.66M |
| 165 | 80050 | General health panel | $11.61M |
| 166 | A7031 | Face mask interface, replacement for full face mask, each | $11.58M |
| 167 | T1005 | Respite care services, up to 15 minutes | $11.58M |
| 168 | 77067 | Screening mammography, bilateral, including computer-aided detection | $11.58M |
| 169 | 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | $11.45M |
| 170 | H2034 | Alcohol and/or drug abuse halfway house services, per diem | $11.32M |
| 171 | 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | $11.27M |
| 172 | 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | $11.07M |
| 173 | 74176 | Computed tomography, abdomen and pelvis; without contrast material | $10.93M |
| 174 | T2003 | Non-emergency transportation; encounter/trip | $10.44M |
| 175 | 80305 | $10.37M | |
| 176 | E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | $10.35M |
| 177 | 45380 | Colonoscopy, flexible; with biopsy, single or multiple | $10.31M |
| 178 | 95810 | Polysomnography; sleep staging with 4 or more additional parameters | $10.30M |
| 179 | V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $10.30M |
| 180 | 71275 | Computed tomographic angiography, chest, with contrast material | $10.06M |
| 181 | D2150 | Silver amalgam - two surfaces, primary or permanent | $9.89M |
| 182 | D0230 | Intraoral - periapical each additional radiographic image | $9.87M |
| 183 | A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | $9.85M |
| 184 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $9.72M |
| 185 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $9.71M |
| 186 | E0570 | Nebulizer, with compressor | $9.66M |
| 187 | B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $9.65M |
| 188 | 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | $9.40M |
| 189 | 99205 | Prolong outpt/office vis | $9.24M |
| 190 | 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | $8.73M |
| 191 | J9271 | Injection, pembrolizumab, 1 mg | $8.72M |
| 192 | 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | $8.46M |
| 193 | H0038 | Self-help/peer services, per 15 minutes | $8.35M |
| 194 | J2357 | Injection, omalizumab, 5 mg | $8.18M |
| 195 | 99480 | Subsequent intensive care, per day, low birth weight infant | $7.93M |
| 196 | 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | $7.87M |
| 197 | 59025 | Fetal non-stress test | $7.86M |
| 198 | 59430 | $7.85M | |
| 199 | E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | $7.78M |
| 200 | A4604 | Tubing with integrated heating element for use with positive airway pressure device | $7.66M |