All 2,745 procedure codes billed by Medicaid providers in Missouri, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | 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) | $6.15B |
| 2 | T2016 | Habilitation, residential, waiver; per diem | $5.21B |
| 3 | T1040 | Medicaid certified community behavioral health clinic services, per diem | $3.90B |
| 4 | T2021 | Day habilitation, waiver; per 15 minutes | $904.96M |
| 5 | A0100 | Non-emergency transportation; taxi | $866.23M |
| 6 | G9012 | Other specified case management service not elsewhere classified | $645.02M |
| 7 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $478.40M |
| 8 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $406.45M |
| 9 | X4011 | State-specific procedure code | $345.03M |
| 10 | T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | $338.90M |
| 11 | S0215 | Non-emergency transportation; mileage, per mile | $322.62M |
| 12 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $307.40M |
| 13 | S5150 | Unskilled respite care, not hospice; per 15 minutes | $279.17M |
| 14 | 99284 | Emergency department visit for the evaluation and management, high severity | $277.50M |
| 15 | H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | $248.73M |
| 16 | W6110 | $240.88M | |
| 17 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $233.29M |
| 18 | A0130 | Non-emergency transportation: wheelchair van | $223.07M |
| 19 | S5136 | Companion care, adult (e.g., iadl/adl); per diem | $222.74M |
| 20 | H0037 | Community psychiatric supportive treatment program, per diem | $210.60M |
| 21 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $209.21M |
| 22 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $185.42M |
| 23 | A0425 | Ground mileage, per statute mile | $167.99M |
| 24 | T1001 | Nursing assessment / evaluation | $157.78M |
| 25 | Y7506 | $154.83M | |
| 26 | S5100 | Day care services, adult; per 15 minutes | $137.76M |
| 27 | H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | $136.24M |
| 28 | Y9504 | $116.67M | |
| 29 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $115.43M |
| 30 | A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | $110.59M |
| 31 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $108.49M |
| 32 | S5170 | Home delivered meals, including preparation; per meal | $97.85M |
| 33 | T1015 | Clinic visit/encounter, all-inclusive | $86.46M |
| 34 | 80053 | Comprehensive metabolic panel | $86.23M |
| 35 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $82.06M |
| 36 | X4003 | $79.19M | |
| 37 | A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | $70.23M |
| 38 | 99232 | Subsequent hospital care, per day, moderate complexity | $70.15M |
| 39 | H2036 | Alcohol and/or other drug treatment program, per diem | $66.87M |
| 40 | 90834 | Psychotherapy, 45 minutes with patient | $61.78M |
| 41 | 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 | $57.15M |
| 42 | T2029 | Specialized medical equipment, not otherwise specified, waiver | $56.89M |
| 43 | X4006 | $50.42M | |
| 44 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $49.37M |
| 45 | A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $48.78M |
| 46 | A0080 | Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest | $48.56M |
| 47 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $46.80M |
| 48 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $46.70M |
| 49 | H2013 | Psychiatric health facility service, per diem | $46.09M |
| 50 | H2023 | Supported employment, per 15 minutes | $45.97M |
| 51 | H2015 | Comprehensive community support services, per 15 minutes | $45.02M |
| 52 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $44.81M |
| 53 | T2001 | Non-emergency transportation; patient attendant/escort | $44.46M |
| 54 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $44.27M |
| 55 | S5125 | Attendant care services; per 15 minutes | $42.37M |
| 56 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $40.83M |
| 57 | 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | $40.33M |
| 58 | H0004 | Behavioral health counseling and therapy, per 15 minutes | $39.12M |
| 59 | J0256 | Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg | $38.59M |
| 60 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $38.15M |
| 61 | T1002 | Rn services, up to 15 minutes | $37.91M |
| 62 | 81001 | $35.21M | |
| 63 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $34.57M |
| 64 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $32.88M |
| 65 | T2005 | Non-emergency transportation; stretcher van | $32.86M |
| 66 | H0031 | Mental health assessment, by non-physician | $32.61M |
| 67 | 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | $32.09M |
| 68 | 90837 | Psychotherapy, 53 minutes with patient | $32.00M |
| 69 | T2003 | Non-emergency transportation; encounter/trip | $30.43M |
| 70 | S5108 | Home care training to home care client, per 15 minutes | $30.19M |
| 71 | 99233 | Prolong inpt eval add15 m | $29.40M |
| 72 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $28.98M |
| 73 | J3490 | Unclassified drugs | $28.91M |
| 74 | Y7507 | $28.56M | |
| 75 | S5130 | Homemaker service, nos; per 15 minutes | $28.54M |
| 76 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $27.50M |
| 77 | H2012 | Behavioral health day treatment, per hour | $26.79M |
| 78 | A0110 | Non-emergency transportation and bus, intra or inter state carrier | $26.16M |
| 79 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $25.54M |
| 80 | H2016 | Comprehensive community support services, per diem | $25.52M |
| 81 | 99215 | Prolong outpt/office vis | $25.17M |
| 82 | 90853 | Group psychotherapy (other than of a multiple-family group) | $24.57M |
| 83 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $24.55M |
| 84 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $24.12M |
| 85 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $23.67M |
| 86 | 99308 | Subsequent nursing facility care, per day, straightforward | $23.15M |
| 87 | 71045 | Radiologic examination, chest; single view | $21.95M |
| 88 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $21.92M |
| 89 | 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $20.97M |
| 90 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $20.52M |
| 91 | X4014 | $20.42M | |
| 92 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $20.22M |
| 93 | H0005 | Alcohol and/or drug services; group counseling by a clinician | $19.75M |
| 94 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $19.26M |
| 95 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $18.91M |
| 96 | A0436 | Rotary wing air mileage, per statute mile | $18.71M |
| 97 | 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | $18.41M |
| 98 | 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 | $18.10M |
| 99 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $17.90M |
| 100 | 71046 | Radiologic examination, chest; 2 views | $17.84M |
| 101 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $17.60M |
| 102 | H2020 | Therapeutic behavioral services, per diem | $17.17M |
| 103 | 70450 | Computed tomography, head or brain; without contrast material | $16.99M |
| 104 | 99223 | Prolong inpt eval add15 m | $16.52M |
| 105 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $16.42M |
| 106 | 80048 | Basic metabolic panel (calcium, ionized) | $16.35M |
| 107 | 81025 | $16.25M | |
| 108 | T2025 | Waiver services; not otherwise specified (nos) | $15.88M |
| 109 | D1120 | Prophylaxis - child | $15.55M |
| 110 | 90832 | Psychotherapy, 30 minutes with patient | $15.43M |
| 111 | D0120 | Periodic oral evaluation - established patient | $14.98M |
| 112 | 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | $14.81M |
| 113 | 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | $14.49M |
| 114 | T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | $14.49M |
| 115 | T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | $14.36M |
| 116 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $14.33M |
| 117 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $14.26M |
| 118 | D7140 | Extraction, erupted tooth or exposed root | $14.25M |
| 119 | S5126 | Attendant care services; per diem | $13.96M |
| 120 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $13.91M |
| 121 | S0209 | Wheelchair van, mileage, per mile | $13.90M |
| 122 | E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | $13.48M |
| 123 | A0170 | Transportation ancillary: parking fees, tolls, other | $13.38M |
| 124 | 81003 | $13.16M | |
| 125 | 99509 | Home visit for assistance with activities of daily living and personal care | $12.96M |
| 126 | G0378 | Hospital observation service, per hour | $12.84M |
| 127 | A9999 | Miscellaneous dme supply or accessory, not otherwise specified | $12.79M |
| 128 | T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | $12.70M |
| 129 | 85027 | $12.67M | |
| 130 | 00170 | Anesthesia for intraoral procedures, including biopsy | $12.67M |
| 131 | A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | $12.61M |
| 132 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $12.57M |
| 133 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $12.20M |
| 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 | $12.09M |
| 135 | A0435 | Fixed wing air mileage, per statute mile | $11.96M |
| 136 | V2020 | Frames, purchases | $11.93M |
| 137 | 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | $11.90M |
| 138 | G0176 | Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) | $11.72M |
| 139 | A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | $11.55M |
| 140 | D7999 | $11.33M | |
| 141 | 90792 | Psychiatric diagnostic evaluation with medical services | $11.32M |
| 142 | D1206 | Topical application of fluoride varnish | $11.20M |
| 143 | H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | $11.18M |
| 144 | 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 | $11.01M |
| 145 | D2930 | Prefabricated stainless steel crown - primary tooth | $10.78M |
| 146 | D1110 | Prophylaxis - adult | $10.75M |
| 147 | T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | $10.66M |
| 148 | 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | $10.47M |
| 149 | T2049 | Non-emergency transportation; stretcher van, mileage; per mile | $9.95M |
| 150 | H0001 | Alcohol and/or drug assessment | $9.94M |
| 151 | H0038 | Self-help/peer services, per 15 minutes | $9.82M |
| 152 | 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | $9.71M |
| 153 | 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 | $9.68M |
| 154 | D0150 | Comprehensive oral evaluation - new or established patient | $9.45M |
| 155 | D0274 | Bitewings - four radiographic images | $9.31M |
| 156 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $9.31M |
| 157 | 59025 | Fetal non-stress test | $9.15M |
| 158 | T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | $9.15M |
| 159 | E0652 | Pneumatic compressor, segmental home model with calibrated gradient pressure | $9.15M |
| 160 | 83690 | $9.08M | |
| 161 | H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | $8.83M |
| 162 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $8.80M |
| 163 | 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | $8.64M |
| 164 | D0330 | Panoramic radiographic image | $8.63M |
| 165 | 99239 | Hospital discharge day management, more than 30 minutes | $8.60M |
| 166 | A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | $8.52M |
| 167 | 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 | $8.42M |
| 168 | 90791 | Psychiatric diagnostic evaluation | $8.32M |
| 169 | 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | $8.29M |
| 170 | 36415 | Collection of venous blood by venipuncture | $8.11M |
| 171 | 99238 | Hospital discharge day management, 30 minutes or less | $8.10M |
| 172 | E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | $8.03M |
| 173 | T1025 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem | $7.86M |
| 174 | 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | $7.81M |
| 175 | T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | $7.80M |
| 176 | H2010 | Comprehensive medication services, per 15 minutes | $7.74M |
| 177 | A0180 | Non-emergency transportation: ancillary: lodging-recipient | $7.63M |
| 178 | 84484 | $7.36M | |
| 179 | 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | $7.09M |
| 180 | 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | $7.09M |
| 181 | T4541 | Incontinence product, disposable underpad, large, each | $7.06M |
| 182 | U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | $7.01M |
| 183 | 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | $6.98M |
| 184 | B4100 | Food thickener, administered orally, per ounce | $6.79M |
| 185 | D1351 | Sealant - per tooth | $6.73M |
| 186 | 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 | $6.64M |
| 187 | S9083 | Global fee urgent care centers | $6.60M |
| 188 | D8670 | Periodic orthodontic treatment visit | $6.57M |
| 189 | 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 | $6.55M |
| 190 | T2002 | Non-emergency transportation; per diem | $6.53M |
| 191 | 87400 | $6.43M | |
| 192 | 99222 | Initial hospital care, per day, moderate complexity | $6.35M |
| 193 | 0202U | Oncology (prostate), multianalyte, gene expression profiling | $6.34M |
| 194 | E1399 | Durable medical equipment, miscellaneous | $6.33M |
| 195 | 93325 | $6.30M | |
| 196 | 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | $6.23M |
| 197 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $6.22M |
| 198 | 87081 | $6.20M | |
| 199 | D0220 | Intraoral - periapical first radiographic image | $6.17M |
| 200 | D9999 | Unspecified adjunctive procedure, by report | $6.15M |