All 3,180 procedure codes billed by Medicaid providers in Minnesota, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | S5140 | Foster care, adult; per diem | $2.22B |
| 2 | 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) | $1.92B |
| 3 | T2031 | Assisted living; waiver, per diem | $1.31B |
| 4 | H0044 | Supported housing, per month | $996.69M |
| 5 | H2035 | Alcohol and/or other drug treatment program, per hour | $819.34M |
| 6 | T2023 | Targeted case management; per month | $814.73M |
| 7 | T2016 | Habilitation, residential, waiver; per diem | $814.25M |
| 8 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $712.89M |
| 9 | H2036 | Alcohol and/or other drug treatment program, per diem | $695.90M |
| 10 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $660.50M |
| 11 | T1018 | School-based individualized education program (iep) services, bundled | $643.27M |
| 12 | 90837 | Psychotherapy, 53 minutes with patient | $622.25M |
| 13 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $453.20M |
| 14 | T1016 | Case management, each 15 minutes | $447.94M |
| 15 | H2014 | Skills training and development, per 15 minutes | $398.94M |
| 16 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $355.39M |
| 17 | 99284 | Emergency department visit for the evaluation and management, high severity | $341.44M |
| 18 | S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | $307.48M |
| 19 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $298.16M |
| 20 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $294.15M |
| 21 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $287.56M |
| 22 | E0483 | High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each | $264.42M |
| 23 | S5130 | Homemaker service, nos; per 15 minutes | $246.61M |
| 24 | 90834 | Psychotherapy, 45 minutes with patient | $225.42M |
| 25 | H0040 | Assertive community treatment program, per diem | $218.85M |
| 26 | T2003 | Non-emergency transportation; encounter/trip | $188.91M |
| 27 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $180.85M |
| 28 | T1013 | Sign language or oral interpretive services, per 15 minutes | $173.47M |
| 29 | H0047 | Alcohol and/or other drug abuse services, not otherwise specified | $169.26M |
| 30 | H2012 | Behavioral health day treatment, per hour | $154.21M |
| 31 | 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 | $142.53M |
| 32 | S5125 | Attendant care services; per 15 minutes | $139.86M |
| 33 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $139.22M |
| 34 | S5100 | Day care services, adult; per 15 minutes | $138.72M |
| 35 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $129.14M |
| 36 | S0215 | Non-emergency transportation; mileage, per mile | $117.57M |
| 37 | E2510 | Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access | $114.54M |
| 38 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $106.24M |
| 39 | A0425 | Ground mileage, per statute mile | $103.90M |
| 40 | 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) | $101.59M |
| 41 | H2015 | Comprehensive community support services, per 15 minutes | $97.32M |
| 42 | T1017 | Targeted case management, each 15 minutes | $94.82M |
| 43 | D0120 | Periodic oral evaluation - established patient | $88.74M |
| 44 | 99233 | Prolong inpt eval add15 m | $83.68M |
| 45 | T2028 | Specialized supply, not otherwise specified, waiver | $80.84M |
| 46 | E0652 | Pneumatic compressor, segmental home model with calibrated gradient pressure | $79.60M |
| 47 | 99215 | Prolong outpt/office vis | $78.95M |
| 48 | H0038 | Self-help/peer services, per 15 minutes | $76.73M |
| 49 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $76.03M |
| 50 | D8670 | Periodic orthodontic treatment visit | $75.39M |
| 51 | 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) | $72.10M |
| 52 | 90832 | Psychotherapy, 30 minutes with patient | $70.59M |
| 53 | H2032 | Activity therapy, per 15 minutes | $70.29M |
| 54 | 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 | $69.78M |
| 55 | S5150 | Unskilled respite care, not hospice; per 15 minutes | $64.96M |
| 56 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $62.66M |
| 57 | 90791 | Psychiatric diagnostic evaluation | $61.78M |
| 58 | D0140 | Limited oral evaluation - problem focused | $59.96M |
| 59 | H2019 | Therapeutic behavioral services, per 15 minutes | $59.89M |
| 60 | D1110 | Prophylaxis - adult | $59.79M |
| 61 | D7140 | Extraction, erupted tooth or exposed root | $59.09M |
| 62 | H0032 | Mental health service plan development by non-physician | $57.67M |
| 63 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $57.35M |
| 64 | 99232 | Subsequent hospital care, per day, moderate complexity | $57.29M |
| 65 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $56.64M |
| 66 | T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | $52.89M |
| 67 | H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | $52.15M |
| 68 | S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | $52.12M |
| 69 | A0080 | Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest | $50.97M |
| 70 | T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | $50.89M |
| 71 | T2029 | Specialized medical equipment, not otherwise specified, waiver | $49.55M |
| 72 | D1206 | Topical application of fluoride varnish | $47.98M |
| 73 | G9002 | Coordinated care fee, maintenance rate | $47.73M |
| 74 | T1030 | Nursing care, in the home, by registered nurse, per diem | $47.29M |
| 75 | X5622 | $47.14M | |
| 76 | S5170 | Home delivered meals, including preparation; per meal | $46.55M |
| 77 | H0046 | Mental health services, not otherwise specified | $45.96M |
| 78 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $45.91M |
| 79 | A0100 | Non-emergency transportation; taxi | $43.74M |
| 80 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $43.60M |
| 81 | T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | $43.39M |
| 82 | 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | $43.17M |
| 83 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $42.79M |
| 84 | D8080 | Comprehensive orthodontic treatment of the adolescent dentition | $41.70M |
| 85 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $41.50M |
| 86 | 99223 | Prolong inpt eval add15 m | $40.37M |
| 87 | D0330 | Panoramic radiographic image | $40.12M |
| 88 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $39.97M |
| 89 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $39.39M |
| 90 | S5102 | Day care services, adult; per diem | $38.85M |
| 91 | S5165 | Home modifications; per service | $38.84M |
| 92 | T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | $38.78M |
| 93 | D1120 | Prophylaxis - child | $38.38M |
| 94 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $38.36M |
| 95 | 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | $36.73M |
| 96 | T2034 | Crisis intervention, waiver; per diem | $36.57M |
| 97 | E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | $35.42M |
| 98 | 36415 | Collection of venous blood by venipuncture | $35.25M |
| 99 | D0274 | Bitewings - four radiographic images | $34.63M |
| 100 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $34.58M |
| 101 | D2930 | Prefabricated stainless steel crown - primary tooth | $34.23M |
| 102 | D0150 | Comprehensive oral evaluation - new or established patient | $33.52M |
| 103 | T4541 | Incontinence product, disposable underpad, large, each | $33.37M |
| 104 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $32.55M |
| 105 | H0035 | Mental health partial hospitalization, treatment, less than 24 hours | $31.60M |
| 106 | 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | $31.60M |
| 107 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $31.04M |
| 108 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $30.98M |
| 109 | H0001 | Alcohol and/or drug assessment | $30.22M |
| 110 | A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $29.95M |
| 111 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $29.15M |
| 112 | S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | $28.33M |
| 113 | S0209 | Wheelchair van, mileage, per mile | $28.29M |
| 114 | V2020 | Frames, purchases | $28.15M |
| 115 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $27.93M |
| 116 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $27.54M |
| 117 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $26.81M |
| 118 | T2039 | Vehicle modifications, waiver; per service | $26.57M |
| 119 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $25.90M |
| 120 | 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 | $25.82M |
| 121 | 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 | $25.06M |
| 122 | 90847 | Family psychotherapy with the patient present, 50 minutes | $24.86M |
| 123 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $24.55M |
| 124 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $23.89M |
| 125 | T1001 | Nursing assessment / evaluation | $23.65M |
| 126 | T2019 | Habilitation, supported employment, waiver; per 15 minutes | $23.55M |
| 127 | H0031 | Mental health assessment, by non-physician | $23.27M |
| 128 | S5161 | Emergency response system; service fee, per month (excludes installation and testing) | $22.51M |
| 129 | A0130 | Non-emergency transportation: wheelchair van | $22.23M |
| 130 | 90853 | Group psychotherapy (other than of a multiple-family group) | $21.29M |
| 131 | E1399 | Durable medical equipment, miscellaneous | $20.23M |
| 132 | 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 | $20.05M |
| 133 | D1351 | Sealant - per tooth | $19.74M |
| 134 | E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | $19.54M |
| 135 | 99239 | Hospital discharge day management, more than 30 minutes | $19.52M |
| 136 | 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $19.45M |
| 137 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $19.37M |
| 138 | H2016 | Comprehensive community support services, per diem | $19.32M |
| 139 | V5257 | Hearing aid, digital, monaural, bte | $18.43M |
| 140 | 90460 | Immunization administration through 18 years of age via any route, first or only component | $18.40M |
| 141 | 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 | $18.27M |
| 142 | D0220 | Intraoral - periapical first radiographic image | $17.77M |
| 143 | 92015 | Determination of refractive state | $17.63M |
| 144 | 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | $17.52M |
| 145 | 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 | $17.33M |
| 146 | E0482 | Cough stimulating device, alternating positive and negative airway pressure | $16.90M |
| 147 | G0482 | 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; 15-21 drug class(es), including metabolite(s) if performed | $16.84M |
| 148 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $16.50M |
| 149 | T1002 | Rn services, up to 15 minutes | $16.24M |
| 150 | D2150 | Silver amalgam - two surfaces, primary or permanent | $16.18M |
| 151 | T1015 | Clinic visit/encounter, all-inclusive | $15.89M |
| 152 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $15.79M |
| 153 | T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each | $15.59M |
| 154 | J0178 | Injection, aflibercept, 1 mg | $15.43M |
| 155 | V2784 | Lens, polycarbonate or equal, any index, per lens | $15.41M |
| 156 | A0436 | Rotary wing air mileage, per statute mile | $15.12M |
| 157 | 70450 | Computed tomography, head or brain; without contrast material | $14.95M |
| 158 | S9328 | Home infusion therapy, implanted pump pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | $14.42M |
| 159 | 80053 | Comprehensive metabolic panel | $14.19M |
| 160 | T2017 | Habilitation, residential, waiver; 15 minutes | $14.08M |
| 161 | T2020 | Day habilitation, waiver; per diem | $14.05M |
| 162 | D0272 | Bitewings - two radiographic images | $13.74M |
| 163 | 92340 | Fitting of spectacles, except for aphakia; monofocal | $13.72M |
| 164 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $13.50M |
| 165 | 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 | $13.45M |
| 166 | S5145 | Foster care, therapeutic, child; per diem | $13.37M |
| 167 | S4993 | Contraceptive pills for birth control | $13.35M |
| 168 | 99310 | Prolong nursin fac eval 15m | $13.02M |
| 169 | 90785 | $12.95M | |
| 170 | 99205 | Prolong outpt/office vis | $12.79M |
| 171 | 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | $12.70M |
| 172 | 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 | $12.55M |
| 173 | A4927 | Gloves, non-sterile, per 100 | $12.33M |
| 174 | T2021 | Day habilitation, waiver; per 15 minutes | $12.33M |
| 175 | T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | $12.30M |
| 176 | D9243 | $12.29M | |
| 177 | 41899 | Unlisted procedure, dentoalveolar structures | $12.28M |
| 178 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $12.17M |
| 179 | D0230 | Intraoral - periapical each additional radiographic image | $11.88M |
| 180 | J0585 | Injection, onabotulinumtoxina, 1 unit | $11.80M |
| 181 | 71046 | Radiologic examination, chest; 2 views | $11.70M |
| 182 | T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | $11.68M |
| 183 | T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | $11.64M |
| 184 | B9998 | Noc for enteral supplies | $11.60M |
| 185 | 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | $11.17M |
| 186 | 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | $11.15M |
| 187 | B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | $11.11M |
| 188 | 90846 | Family psychotherapy without the patient present, 50 minutes | $10.80M |
| 189 | 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | $10.79M |
| 190 | T2013 | Habilitation, educational, waiver; per hour | $10.59M |
| 191 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $10.53M |
| 192 | S0280 | Medical home program, comprehensive care coordination and planning, initial plan | $10.37M |
| 193 | 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | $10.34M |
| 194 | S5120 | Chore services; per 15 minutes | $10.32M |
| 195 | V5261 | Hearing aid, digital, binaural, bte | $10.22M |
| 196 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $10.12M |
| 197 | 99509 | Home visit for assistance with activities of daily living and personal care | $10.07M |
| 198 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $9.93M |
| 199 | E0603 | Breast pump, electric (ac and/or dc), any type | $9.75M |
| 200 | S8121 | Oxygen contents, liquid, 1 unit equals 1 pound | $9.48M |