All 3,663 procedure codes billed by Medicaid providers in Louisiana, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | S5125 | Attendant care services; per 15 minutes | $3.55B |
| 2 | T1015 | Clinic visit/encounter, all-inclusive | $1.47B |
| 3 | 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) | $1.18B |
| 4 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $719.66M |
| 5 | 99284 | Emergency department visit for the evaluation and management, high severity | $699.23M |
| 6 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $663.91M |
| 7 | H2036 | Alcohol and/or other drug treatment program, per diem | $643.61M |
| 8 | H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | $483.04M |
| 9 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $477.08M |
| 10 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $470.16M |
| 11 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $380.41M |
| 12 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $314.95M |
| 13 | H0039 | Assertive community treatment, face-to-face, per 15 minutes | $288.46M |
| 14 | T2003 | Non-emergency transportation; encounter/trip | $228.43M |
| 15 | H2020 | Therapeutic behavioral services, per diem | $203.44M |
| 16 | T1025 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem | $173.96M |
| 17 | H2013 | Psychiatric health facility service, per diem | $173.73M |
| 18 | A0425 | Ground mileage, per statute mile | $172.28M |
| 19 | H2022 | Community-based wrap-around services, per diem | $126.72M |
| 20 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $121.30M |
| 21 | 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 | $119.07M |
| 22 | S9124 | Nursing care, in the home; by licensed practical nurse, per hour | $114.77M |
| 23 | 99232 | Subsequent hospital care, per day, moderate complexity | $102.66M |
| 24 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $95.41M |
| 25 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $93.28M |
| 26 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $89.27M |
| 27 | T2023 | Targeted case management; per month | $86.05M |
| 28 | T2021 | Day habilitation, waiver; per 15 minutes | $85.17M |
| 29 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $85.03M |
| 30 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $84.73M |
| 31 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $82.40M |
| 32 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $78.78M |
| 33 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $78.30M |
| 34 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $77.82M |
| 35 | D0120 | Periodic oral evaluation - established patient | $76.98M |
| 36 | D1120 | Prophylaxis - child | $76.48M |
| 37 | D0999 | Unspecified diagnostic procedure, by report | $74.20M |
| 38 | 99233 | Prolong inpt eval add15 m | $73.33M |
| 39 | Z0637 | $67.90M | |
| 40 | D1110 | Prophylaxis - adult | $67.53M |
| 41 | D2930 | Prefabricated stainless steel crown - primary tooth | $64.89M |
| 42 | T2016 | Habilitation, residential, waiver; per diem | $63.65M |
| 43 | 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | $63.02M |
| 44 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $60.11M |
| 45 | T2022 | Case management, per month | $57.65M |
| 46 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $56.91M |
| 47 | 90837 | Psychotherapy, 53 minutes with patient | $56.14M |
| 48 | 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | $55.74M |
| 49 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $55.46M |
| 50 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $54.74M |
| 51 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $54.49M |
| 52 | 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 | $54.32M |
| 53 | 99215 | Prolong outpt/office vis | $54.23M |
| 54 | H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | $52.66M |
| 55 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $51.48M |
| 56 | 70450 | Computed tomography, head or brain; without contrast material | $50.20M |
| 57 | 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | $49.41M |
| 58 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $45.89M |
| 59 | H2034 | Alcohol and/or drug abuse halfway house services, per diem | $45.58M |
| 60 | 99223 | Prolong inpt eval add15 m | $45.55M |
| 61 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $45.34M |
| 62 | E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | $43.79M |
| 63 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $42.95M |
| 64 | A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $42.66M |
| 65 | 0225U | $42.43M | |
| 66 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $41.77M |
| 67 | D1208 | Topical application of fluoride, excluding varnish | $41.66M |
| 68 | 0202U | Oncology (prostate), multianalyte, gene expression profiling | $41.43M |
| 69 | T1003 | Lpn/lvn services, up to 15 minutes | $40.24M |
| 70 | D0150 | Comprehensive oral evaluation - new or established patient | $37.82M |
| 71 | Z0199 | $37.82M | |
| 72 | 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | $35.57M |
| 73 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $34.53M |
| 74 | 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | $34.41M |
| 75 | Z0195 | $34.03M | |
| 76 | 71045 | Radiologic examination, chest; single view | $33.68M |
| 77 | D0272 | Bitewings - two radiographic images | $32.89M |
| 78 | S9480 | Intensive outpatient psychiatric services, per diem | $32.20M |
| 79 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $31.74M |
| 80 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $31.74M |
| 81 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $30.66M |
| 82 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $30.43M |
| 83 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $29.67M |
| 84 | 80053 | Comprehensive metabolic panel | $29.64M |
| 85 | D0330 | Panoramic radiographic image | $28.68M |
| 86 | V2020 | Frames, purchases | $27.95M |
| 87 | 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | $27.71M |
| 88 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $26.61M |
| 89 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $26.45M |
| 90 | S5100 | Day care services, adult; per 15 minutes | $25.46M |
| 91 | E0601 | Continuous positive airway pressure (cpap) device | $25.39M |
| 92 | D7140 | Extraction, erupted tooth or exposed root | $25.30M |
| 93 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $25.28M |
| 94 | 71046 | Radiologic examination, chest; 2 views | $24.86M |
| 95 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $24.55M |
| 96 | S5110 | Home care training, family; per 15 minutes | $24.49M |
| 97 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $24.47M |
| 98 | 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | $24.13M |
| 99 | H2025 | Ongoing support to maintain employment, per 15 minutes | $23.94M |
| 100 | G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | $23.77M |
| 101 | 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | $23.74M |
| 102 | D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | $23.33M |
| 103 | A0436 | Rotary wing air mileage, per statute mile | $23.14M |
| 104 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $22.71M |
| 105 | A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | $21.75M |
| 106 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $21.51M |
| 107 | 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | $20.99M |
| 108 | G0378 | Hospital observation service, per hour | $20.84M |
| 109 | H2033 | Multisystemic therapy for juveniles, per 15 minutes | $20.66M |
| 110 | D1351 | Sealant - per tooth | $20.61M |
| 111 | 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | $20.12M |
| 112 | 90791 | Psychiatric diagnostic evaluation | $19.53M |
| 113 | 90792 | Psychiatric diagnostic evaluation with medical services | $19.47M |
| 114 | 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | $19.40M |
| 115 | T1001 | Nursing assessment / evaluation | $19.06M |
| 116 | D1206 | Topical application of fluoride varnish | $18.73M |
| 117 | 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | $18.51M |
| 118 | 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | $18.35M |
| 119 | 76819 | Fetal biophysical profile; without non-stress testing | $18.35M |
| 120 | 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | $18.00M |
| 121 | 90472 | Immunization administration, each additional vaccine (list separately) | $17.92M |
| 122 | 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | $17.70M |
| 123 | 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | $17.69M |
| 124 | H2011 | Crisis intervention service, per 15 minutes | $17.18M |
| 125 | 99222 | Initial hospital care, per day, moderate complexity | $17.15M |
| 126 | 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 | $16.98M |
| 127 | 77067 | Screening mammography, bilateral, including computer-aided detection | $16.04M |
| 128 | 74176 | Computed tomography, abdomen and pelvis; without contrast material | $16.00M |
| 129 | G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | $15.89M |
| 130 | 99239 | Hospital discharge day management, more than 30 minutes | $15.86M |
| 131 | 95800 | $15.79M | |
| 132 | 99238 | Hospital discharge day management, 30 minutes or less | $15.67M |
| 133 | T2002 | Non-emergency transportation; per diem | $15.62M |
| 134 | V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | $15.20M |
| 135 | 80050 | General health panel | $14.72M |
| 136 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $14.69M |
| 137 | 99479 | Subsequent intensive care, per day, very low birth weight infant | $14.67M |
| 138 | H0038 | Self-help/peer services, per 15 minutes | $14.64M |
| 139 | 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | $14.52M |
| 140 | 96375 | Therapeutic injection; each additional sequential IV push | $14.19M |
| 141 | 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | $14.12M |
| 142 | A0130 | Non-emergency transportation: wheelchair van | $13.83M |
| 143 | D0210 | Intraoral - complete series of radiographic images | $13.70M |
| 144 | 41899 | Unlisted procedure, dentoalveolar structures | $13.64M |
| 145 | A9274 | External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories | $13.60M |
| 146 | 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 | $13.49M |
| 147 | D0220 | Intraoral - periapical first radiographic image | $13.36M |
| 148 | 99205 | Prolong outpt/office vis | $13.25M |
| 149 | 92551 | $13.06M | |
| 150 | 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | $12.98M |
| 151 | 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | $12.88M |
| 152 | 87150 | $12.84M | |
| 153 | 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | $12.77M |
| 154 | A7030 | Full face mask used with positive airway pressure device, each | $12.62M |
| 155 | D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | $12.60M |
| 156 | T1016 | Case management, each 15 minutes | $12.45M |
| 157 | H2026 | Ongoing support to maintain employment, per diem | $12.14M |
| 158 | 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | $11.96M |
| 159 | 90834 | Psychotherapy, 45 minutes with patient | $11.96M |
| 160 | D7240 | Removal of impacted tooth - completely bony | $11.96M |
| 161 | H2014 | Skills training and development, per 15 minutes | $11.89M |
| 162 | 87481 | $11.64M | |
| 163 | 99231 | Subsequent hospital care, per day, straightforward or low complexity | $11.53M |
| 164 | 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | $11.50M |
| 165 | A0398 | Als routine disposable supplies | $11.49M |
| 166 | E2402 | Negative pressure wound therapy electrical pump, stationary or portable | $10.99M |
| 167 | 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | $10.88M |
| 168 | 36415 | Collection of venous blood by venipuncture | $10.59M |
| 169 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $10.55M |
| 170 | T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | $10.52M |
| 171 | 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | $10.51M |
| 172 | 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | $10.50M |
| 173 | 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | $10.20M |
| 174 | 0365T | $10.12M | |
| 175 | V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $10.09M |
| 176 | D0145 | Oral evaluation for a patient under three years of age | $10.06M |
| 177 | 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | $10.03M |
| 178 | D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | $9.99M |
| 179 | 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | $9.84M |
| 180 | S5140 | Foster care, adult; per diem | $9.78M |
| 181 | T1026 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour | $9.78M |
| 182 | D2150 | Silver amalgam - two surfaces, primary or permanent | $9.61M |
| 183 | 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | $9.50M |
| 184 | 80061 | Lipid panel | $9.47M |
| 185 | A4353 | Intermittent urinary catheter, with insertion supplies | $9.22M |
| 186 | 81025 | $9.01M | |
| 187 | 96361 | Intravenous infusion, hydration; each additional hour | $8.80M |
| 188 | 20610 | $8.60M | |
| 189 | 87653 | $8.58M | |
| 190 | 87428 | $8.54M | |
| 191 | 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | $8.34M |
| 192 | 87640 | $8.26M | |
| 193 | 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | $8.25M |
| 194 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $8.15M |
| 195 | A0394 | Als specialized service disposable supplies; iv drug therapy | $8.12M |
| 196 | 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | $8.10M |
| 197 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $8.09M |
| 198 | D2140 | $8.05M | |
| 199 | T1017 | Targeted case management, each 15 minutes | $8.00M |
| 200 | 00170 | Anesthesia for intraoral procedures, including biopsy | $7.96M |