Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

Billing Codes in Mississippi

All 3,141 procedure codes billed by Medicaid providers in Mississippi, ranked by total spending.

#CodeDescriptionTotal 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) $1.41B
2 S5125 Attendant care services; per 15 minutes $563.62M
3 99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $532.26M
4 S5136 Companion care, adult (e.g., iadl/adl); per diem $365.98M
5 S5100 Day care services, adult; per 15 minutes $335.99M
6 T2022 Case management, per month $334.32M
7 99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $327.77M
8 99284 Emergency department visit for the evaluation and management, high severity $312.72M
9 99283 Emergency department visit for the evaluation and management, moderate severity $273.69M
10 90837 Psychotherapy, 53 minutes with patient $192.97M
11 99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life $187.17M
12 90999 Unlisted dialysis procedure, inpatient or outpatient $145.32M
13 H2012 Behavioral health day treatment, per hour $116.95M
14 S5150 Unskilled respite care, not hospice; per 15 minutes $107.16M
15 G0378 Hospital observation service, per hour $102.01M
16 T1025 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem $94.57M
17 A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) $91.80M
18 H2022 Community-based wrap-around services, per diem $86.51M
19 H2017 Psychosocial rehabilitation services, per 15 minutes $85.07M
20 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) $83.48M
21 D8670 Periodic orthodontic treatment visit $78.46M
22 S5170 Home delivered meals, including preparation; per meal $75.03M
23 H2015 Comprehensive community support services, per 15 minutes $73.82M
24 97530 Therapeutic activities, direct patient contact, each 15 minutes $72.17M
25 97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion $69.29M
26 H2030 Mental health clubhouse services, per 15 minutes $68.24M
27 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) $65.36M
28 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder $65.34M
29 H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes $63.64M
30 99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward $60.12M
31 96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance $59.22M
32 D1120 Prophylaxis - child $59.16M
33 A0429 Ambulance service, basic life support, emergency transport (bls-emergency) $53.52M
34 99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) $46.48M
35 99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) $46.46M
36 T1017 Targeted case management, each 15 minutes $41.86M
37 D2930 Prefabricated stainless steel crown - primary tooth $41.74M
38 99282 Emergency department visit for the evaluation and management, low to moderate severity $40.98M
39 S9124 Nursing care, in the home; by licensed practical nurse, per hour $40.97M
40 D2392 Resin-based composite - two surfaces, posterior, primary or permanent $40.35M
41 A9276 Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply $39.86M
42 96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular $39.43M
43 92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient $38.75M
44 90834 Psychotherapy, 45 minutes with patient $36.21M
45 T2015 Habilitation, prevocational, waiver; per hour $35.75M
46 74177 Computed tomography, abdomen and pelvis; with contrast material $34.90M
47 A0425 Ground mileage, per statute mile $33.39M
48 D1206 Topical application of fluoride varnish $33.20M
49 D0150 Comprehensive oral evaluation - new or established patient $31.96M
50 59426 $31.83M
51 D1351 Sealant - per tooth $31.34M
52 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour $29.97M
53 T1005 Respite care services, up to 15 minutes $29.77M
54 D7140 Extraction, erupted tooth or exposed root $29.75M
55 71045 Radiologic examination, chest; single view $29.61M
56 D0120 Periodic oral evaluation - established patient $29.16M
57 J9271 Injection, pembrolizumab, 1 mg $28.70M
58 99232 Subsequent hospital care, per day, moderate complexity $28.51M
59 90846 Family psychotherapy without the patient present, 50 minutes $27.33M
60 42820 Tonsillectomy and adenoidectomy; younger than age 12 $26.73M
61 90847 Family psychotherapy with the patient present, 50 minutes $26.66M
62 93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete $26.41M
63 94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction $26.16M
64 99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity $24.33M
65 99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity $23.77M
66 87804 Infectious agent antigen detection by immunoassay; Influenza, each type $23.68M
67 71046 Radiologic examination, chest; 2 views $23.16M
68 99308 Subsequent nursing facility care, per day, straightforward $23.00M
69 E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate $22.42M
70 70450 Computed tomography, head or brain; without contrast material $22.23M
71 69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia $22.23M
72 H0043 Supported housing, per diem $21.85M
73 87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) $21.63M
74 D8080 Comprehensive orthodontic treatment of the adolescent dentition $21.26M
75 D0330 Panoramic radiographic image $21.04M
76 T2023 Targeted case management; per month $20.71M
77 96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance $19.81M
78 92015 Determination of refractive state $19.70M
79 D0140 Limited oral evaluation - problem focused $19.11M
80 90460 Immunization administration through 18 years of age via any route, first or only component $19.10M
81 92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient $18.84M
82 93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report $18.80M
83 96361 Intravenous infusion, hydration; each additional hour $18.74M
84 99233 Prolong inpt eval add15 m $18.35M
85 90853 Group psychotherapy (other than of a multiple-family group) $18.09M
86 H2019 Therapeutic behavioral services, per 15 minutes $17.75M
87 85025 Blood count; complete (CBC), automated, and automated differential WBC count $17.46M
88 59425 $17.42M
89 H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem $17.37M
90 90832 Psychotherapy, 30 minutes with patient $17.21M
91 V2020 Frames, purchases $16.95M
92 99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) $16.93M
93 D2391 Resin-based composite - one surface, posterior, primary or permanent $16.84M
94 97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination $16.35M
95 A0431 Ambulance service, conventional air services, transport, one way (rotary wing) $15.99M
96 80053 Comprehensive metabolic panel $15.85M
97 H0031 Mental health assessment, by non-physician $15.79M
98 D0272 Bitewings - two radiographic images $15.75M
99 99215 Prolong outpt/office vis $15.56M
100 A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips $15.10M
101 K0108 Wheelchair component or accessory, not otherwise specified $14.66M
102 43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple $14.63M
103 Q5003 Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) $14.34M
104 87428 $14.27M
105 96375 Therapeutic injection; each additional sequential IV push $14.15M
106 H0039 Assertive community treatment, face-to-face, per 15 minutes $13.72M
107 80307 Drug test(s), presumptive, any number of drug classes; immunoassay $13.57M
108 D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth $13.41M
109 87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A $13.13M
110 D7240 Removal of impacted tooth - completely bony $13.11M
111 87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets $13.09M
112 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour $12.95M
113 E1220 Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification $12.74M
114 74176 Computed tomography, abdomen and pelvis; without contrast material $12.73M
115 88305 Level IV - Surgical pathology, gross and microscopic examination $12.70M
116 E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) $12.53M
117 A0428 Ambulance service, basic life support, non-emergency transport, (bls) $12.36M
118 E1399 Durable medical equipment, miscellaneous $12.35M
119 S9430 Pharmacy compounding and dispensing services $12.18M
120 T1002 Rn services, up to 15 minutes $12.06M
121 A9277 Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system $11.65M
122 S5135 Companion care, adult (e.g., iadl/adl); per 15 minutes $11.37M
123 87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets $11.05M
124 J0585 Injection, onabotulinumtoxina, 1 unit $10.88M
125 T2046 Hospice long term care, room and board only; per diem $10.82M
126 99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity $10.81M
127 86900 $10.68M
128 99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) $10.65M
129 87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe $10.63M
130 90791 Psychiatric diagnostic evaluation $10.18M
131 H0037 Community psychiatric supportive treatment program, per diem $10.17M
132 D1208 Topical application of fluoride, excluding varnish $10.15M
133 J2357 Injection, omalizumab, 5 mg $10.13M
134 92340 Fitting of spectacles, except for aphakia; monofocal $10.02M
135 D0274 Bitewings - four radiographic images $9.94M
136 H2025 Ongoing support to maintain employment, per 15 minutes $9.94M
137 99307 $9.65M
138 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 $9.17M
139 T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each $9.10M
140 99309 Subsequent nursing facility care, per day, low to moderate complexity $9.04M
141 11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm $8.87M
142 78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress $8.78M
143 99223 Prolong inpt eval add15 m $8.75M
144 99281 Emergency department visit for the evaluation and management, self-limited or minor $8.72M
145 G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes $8.48M
146 A4554 Disposable underpads, all sizes $8.45M
147 76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up $8.37M
148 99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes $8.32M
149 90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits $8.20M
150 T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each $8.17M
151 Q5001 Hospice or home health care provided in patient's home/residence $8.13M
152 36415 Collection of venous blood by venipuncture $8.11M
153 66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis $8.06M
154 B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape $8.02M
155 J0897 Injection, denosumab, 1 mg $7.98M
156 92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient $7.81M
157 99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger $7.73M
158 D9230 Inhalation of nitrous oxide / analgesia, anxiolysis $7.72M
159 93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study $7.60M
160 A9274 External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories $7.48M
161 87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe $7.42M
162 78815 Positron emission tomography (PET) for limited area imaging $7.38M
163 J0887 Injection, epoetin beta, 1 microgram, (for esrd on dialysis) $7.31M
164 87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe $7.30M
165 70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences $7.03M
166 A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) $6.93M
167 A0436 Rotary wing air mileage, per statute mile $6.91M
168 99238 Hospital discharge day management, 30 minutes or less $6.69M
169 D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction $6.66M
170 90792 Psychiatric diagnostic evaluation with medical services $6.64M
171 T1026 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour $6.52M
172 59025 Fetal non-stress test $6.37M
173 D0220 Intraoral - periapical first radiographic image $6.34M
174 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 $6.22M
175 86902 $6.11M
176 76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation $6.05M
177 93458 $6.03M
178 G0463 Hospital outpatient clinic visit for assessment and management of a patient $6.01M
179 T4523 Adult sized disposable incontinence product, brief/diaper, large, each $5.90M
180 76819 Fetal biophysical profile; without non-stress testing $5.80M
181 87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe $5.78M
182 T1015 Clinic visit/encounter, all-inclusive $5.71M
183 90935 Hemodialysis procedure with single evaluation by a physician $5.70M
184 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 $5.66M
185 J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg $5.63M
186 V2100 Sphere, single vision, plano to plus or minus 4.00, per lens $5.62M
187 86885 $5.61M
188 T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each $5.58M
189 99244 Office or other outpatient consultation, moderate to high complexity $5.55M
190 74018 $5.48M
191 U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc $5.41M
192 D0210 Intraoral - complete series of radiographic images $5.38M
193 J0604 Cinacalcet, oral, 1 mg, (for esrd on dialysis) $5.33M
194 95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials $5.32M
195 J2505 Injection, pegfilgrastim, 6 mg $5.30M
196 71260 Computed tomography, thorax, diagnostic; with contrast material $5.26M
197 88307 $5.24M
198 T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each $5.23M
199 99479 Subsequent intensive care, per day, very low birth weight infant $5.23M
200 01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery $5.22M