All 2,239 procedure codes billed by Medicaid providers in Kansas, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | T2016 | Habilitation, residential, waiver; per diem | $1.67B |
| 2 | S5125 | Attendant care services; per 15 minutes | $1.17B |
| 3 | T2021 | Day habilitation, waiver; per 15 minutes | $805.32M |
| 4 | 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) | $469.67M |
| 5 | T1040 | Medicaid certified community behavioral health clinic services, per diem | $458.47M |
| 6 | T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | $298.70M |
| 7 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $279.27M |
| 8 | H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | $258.60M |
| 9 | T2025 | Waiver services; not otherwise specified (nos) | $201.19M |
| 10 | T2046 | Hospice long term care, room and board only; per diem | $173.89M |
| 11 | T1017 | Targeted case management, each 15 minutes | $130.66M |
| 12 | 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 | $128.79M |
| 13 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $119.94M |
| 14 | T2040 | Financial management, self-directed, waiver; per 15 minutes | $99.19M |
| 15 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $96.33M |
| 16 | 90837 | Psychotherapy, 53 minutes with patient | $93.70M |
| 17 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $61.70M |
| 18 | H2011 | Crisis intervention service, per 15 minutes | $52.14M |
| 19 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $49.57M |
| 20 | Y7506 | $42.42M | |
| 21 | D1351 | Sealant - per tooth | $39.59M |
| 22 | 99284 | Emergency department visit for the evaluation and management, high severity | $39.55M |
| 23 | D1120 | Prophylaxis - child | $39.53M |
| 24 | D1206 | Topical application of fluoride varnish | $38.44M |
| 25 | 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | $35.52M |
| 26 | D0120 | Periodic oral evaluation - established patient | $26.99M |
| 27 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $25.93M |
| 28 | D1110 | Prophylaxis - adult | $25.50M |
| 29 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $25.24M |
| 30 | S5170 | Home delivered meals, including preparation; per meal | $24.78M |
| 31 | 90834 | Psychotherapy, 45 minutes with patient | $24.35M |
| 32 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $24.17M |
| 33 | D2930 | Prefabricated stainless steel crown - primary tooth | $22.67M |
| 34 | 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 | $22.20M |
| 35 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $20.92M |
| 36 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $20.80M |
| 37 | V2020 | Frames, purchases | $20.44M |
| 38 | 00170 | Anesthesia for intraoral procedures, including biopsy | $19.91M |
| 39 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $19.03M |
| 40 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $17.62M |
| 41 | H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | $17.54M |
| 42 | S5150 | Unskilled respite care, not hospice; per 15 minutes | $17.38M |
| 43 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $17.22M |
| 44 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $17.11M |
| 45 | 41899 | Unlisted procedure, dentoalveolar structures | $16.79M |
| 46 | S5165 | Home modifications; per service | $15.47M |
| 47 | G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | $15.30M |
| 48 | 80053 | Comprehensive metabolic panel | $15.01M |
| 49 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $14.95M |
| 50 | D7240 | Removal of impacted tooth - completely bony | $14.72M |
| 51 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $14.55M |
| 52 | H0038 | Self-help/peer services, per 15 minutes | $14.28M |
| 53 | H2021 | Community-based wrap-around services, per 15 minutes | $14.11M |
| 54 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $14.02M |
| 55 | D7140 | Extraction, erupted tooth or exposed root | $13.87M |
| 56 | G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | $13.86M |
| 57 | S5161 | Emergency response system; service fee, per month (excludes installation and testing) | $12.95M |
| 58 | D0274 | Bitewings - four radiographic images | $12.93M |
| 59 | A0425 | Ground mileage, per statute mile | $12.28M |
| 60 | X4006 | $12.07M | |
| 61 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $11.99M |
| 62 | 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) | $11.71M |
| 63 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $11.55M |
| 64 | D0330 | Panoramic radiographic image | $11.31M |
| 65 | 80050 | General health panel | $11.11M |
| 66 | 84443 | Thyroid stimulating hormone (TSH) | $10.92M |
| 67 | D0272 | Bitewings - two radiographic images | $10.91M |
| 68 | D0150 | Comprehensive oral evaluation - new or established patient | $10.86M |
| 69 | 80061 | Lipid panel | $10.77M |
| 70 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $10.17M |
| 71 | H0004 | Behavioral health counseling and therapy, per 15 minutes | $10.02M |
| 72 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $9.63M |
| 73 | S9460 | Diabetic management program, nurse visit | $9.50M |
| 74 | 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | $9.13M |
| 75 | 97130 | $9.09M | |
| 76 | 99232 | Subsequent hospital care, per day, moderate complexity | $9.03M |
| 77 | 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | $8.88M |
| 78 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $8.83M |
| 79 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $8.75M |
| 80 | 90472 | Immunization administration, each additional vaccine (list separately) | $8.63M |
| 81 | 99233 | Prolong inpt eval add15 m | $8.51M |
| 82 | 90460 | Immunization administration through 18 years of age via any route, first or only component | $8.44M |
| 83 | D0140 | Limited oral evaluation - problem focused | $8.25M |
| 84 | 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | $7.89M |
| 85 | 90832 | Psychotherapy, 30 minutes with patient | $7.69M |
| 86 | 96110 | Developmental screening, with scoring and documentation, per standardized instrument | $7.65M |
| 87 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $7.45M |
| 88 | H0005 | Alcohol and/or drug services; group counseling by a clinician | $7.39M |
| 89 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $7.39M |
| 90 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $7.17M |
| 91 | T2003 | Non-emergency transportation; encounter/trip | $6.63M |
| 92 | D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | $6.52M |
| 93 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $6.51M |
| 94 | G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | $6.41M |
| 95 | T1013 | Sign language or oral interpretive services, per 15 minutes | $6.39M |
| 96 | 83036 | Hemoglobin; glycosylated (A1C) | $6.37M |
| 97 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $6.29M |
| 98 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $6.11M |
| 99 | 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | $6.01M |
| 100 | H2023 | Supported employment, per 15 minutes | $5.86M |
| 101 | A0100 | Non-emergency transportation; taxi | $5.75M |
| 102 | 80081 | $5.61M | |
| 103 | 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) | $5.58M |
| 104 | V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | $5.57M |
| 105 | S0311 | Comprehensive management and care coordination for advanced illness, per calendar month | $5.46M |
| 106 | D0230 | Intraoral - periapical each additional radiographic image | $5.45M |
| 107 | D0220 | Intraoral - periapical first radiographic image | $5.40M |
| 108 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $5.33M |
| 109 | D1208 | Topical application of fluoride, excluding varnish | $5.28M |
| 110 | D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | $5.14M |
| 111 | D9999 | Unspecified adjunctive procedure, by report | $5.09M |
| 112 | S9124 | Nursing care, in the home; by licensed practical nurse, per hour | $5.09M |
| 113 | D9222 | $5.06M | |
| 114 | S0316 | Disease management program, follow-up/reassessment | $4.98M |
| 115 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $4.79M |
| 116 | 81420 | Fetal chromosomal aneuploidy genomic sequence analysis panel | $4.79M |
| 117 | 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | $4.74M |
| 118 | T2029 | Specialized medical equipment, not otherwise specified, waiver | $4.67M |
| 119 | S5110 | Home care training, family; per 15 minutes | $4.60M |
| 120 | 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | $4.60M |
| 121 | V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $4.58M |
| 122 | 90791 | Psychiatric diagnostic evaluation | $4.55M |
| 123 | S0317 | Disease management program; per diem | $4.36M |
| 124 | T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | $4.34M |
| 125 | 90847 | Family psychotherapy with the patient present, 50 minutes | $4.34M |
| 126 | X4011 | State-specific procedure code | $4.32M |
| 127 | X4003 | $4.20M | |
| 128 | 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 | $4.11M |
| 129 | T1027 | Family training and counseling for child development, per 15 minutes | $3.88M |
| 130 | 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | $3.78M |
| 131 | 90935 | Hemodialysis procedure with single evaluation by a physician | $3.69M |
| 132 | 86803 | $3.62M | |
| 133 | 99223 | Prolong inpt eval add15 m | $3.52M |
| 134 | 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 | $3.46M |
| 135 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $3.46M |
| 136 | 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | $3.45M |
| 137 | 92015 | Determination of refractive state | $3.34M |
| 138 | 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 | $3.28M |
| 139 | D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | $3.27M |
| 140 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $3.25M |
| 141 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $3.24M |
| 142 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $3.18M |
| 143 | T2031 | Assisted living; waiver, per diem | $3.09M |
| 144 | 86003 | $3.08M | |
| 145 | E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | $3.07M |
| 146 | G0515 | Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes | $3.03M |
| 147 | 81513 | $3.01M | |
| 148 | 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 | $2.99M |
| 149 | S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | $2.98M |
| 150 | E0570 | Nebulizer, with compressor | $2.98M |
| 151 | T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | $2.93M |
| 152 | 70450 | Computed tomography, head or brain; without contrast material | $2.92M |
| 153 | 86480 | $2.87M | |
| 154 | 99479 | Subsequent intensive care, per day, very low birth weight infant | $2.86M |
| 155 | 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | $2.80M |
| 156 | 87086 | Culture, bacterial; quantitative colony count, urine | $2.77M |
| 157 | H2014 | Skills training and development, per 15 minutes | $2.70M |
| 158 | 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | $2.70M |
| 159 | A0130 | Non-emergency transportation: wheelchair van | $2.58M |
| 160 | G9150 | National committee for quality assurance - level 3 medical home | $2.58M |
| 161 | V2784 | Lens, polycarbonate or equal, any index, per lens | $2.56M |
| 162 | 82607 | $2.51M | |
| 163 | T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | $2.50M |
| 164 | 99402 | $2.49M | |
| 165 | 84439 | $2.48M | |
| 166 | E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | $2.48M |
| 167 | A4554 | Disposable underpads, all sizes | $2.47M |
| 168 | 71045 | Radiologic examination, chest; single view | $2.46M |
| 169 | S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | $2.46M |
| 170 | 97537 | $2.44M | |
| 171 | U0005 | 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | $2.41M |
| 172 | 82728 | $2.41M | |
| 173 | T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | $2.40M |
| 174 | E2402 | Negative pressure wound therapy electrical pump, stationary or portable | $2.38M |
| 175 | 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | $2.33M |
| 176 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $2.27M |
| 177 | A4353 | Intermittent urinary catheter, with insertion supplies | $2.24M |
| 178 | H0001 | Alcohol and/or drug assessment | $2.23M |
| 179 | 80074 | $2.22M | |
| 180 | 85027 | $2.19M | |
| 181 | 99215 | Prolong outpt/office vis | $2.17M |
| 182 | S5130 | Homemaker service, nos; per 15 minutes | $2.17M |
| 183 | T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | $2.13M |
| 184 | 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | $2.11M |
| 185 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $2.10M |
| 186 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $2.02M |
| 187 | 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $2.02M |
| 188 | 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | $2.01M |
| 189 | 99238 | Hospital discharge day management, 30 minutes or less | $1.99M |
| 190 | 76819 | Fetal biophysical profile; without non-stress testing | $1.90M |
| 191 | 95810 | Polysomnography; sleep staging with 4 or more additional parameters | $1.89M |
| 192 | 83013 | $1.87M | |
| 193 | 99308 | Subsequent nursing facility care, per day, straightforward | $1.84M |
| 194 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $1.84M |
| 195 | 90792 | Psychiatric diagnostic evaluation with medical services | $1.84M |
| 196 | D0240 | $1.80M | |
| 197 | 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 | $1.78M |
| 198 | J1559 | Injection, immune globulin (hizentra), 100 mg | $1.77M |
| 199 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $1.77M |
| 200 | 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | $1.77M |