Billing codes in North Dakota

1,353 codes billed by North Dakota providers, ranked by dollars paid 2018–2024 (top 200 shown).

#	Code	Service	Paid
1	T2016	A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem	$407.99M
2	W0725		$247.85M
3	T2021	Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes	$172.51M
4	99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	$102.56M
5	W0715		$95.99M
6	99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	$71.03M
7	W0300		$51.59M
8	S5125	Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes	$48.14M
9	99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	$47.44M
10	99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	$39.83M
11	99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	$38.18M
12	97530	Therapeutic activities, direct patient contact, each 15 minutes	$25.93M
13	S5111	Home care training, family; per session	$25.17M
14	T2019	Habilitation, supported employment, waiver; per 15 minutes	$24.82M
15	A0429	Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency)	$23.70M
16	H2036	Alcohol and/or other drug treatment program, per diem	$23.67M
17	G0463	Hospital outpatient clinic visit for assessment and management of a patient	$23.21M
18	A0427	Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	$21.65M
19	92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	$21.27M
20	W0700		$19.04M
21	W0500		$18.14M
22	90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	$17.85M
23	A0425	Ground mileage, per statute mile	$16.17M
24	W0260		$15.50M
25	T1019	Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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)	$15.46M
26	99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	$14.06M
27	S0201	Partial hospitalization services, less than 24 hours, per diem	$13.06M
28	T2025	Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos)	$12.41M
29	T2017	Habilitation, residential, waiver; 15 minutes	$12.29M
30	T2031	Assisted living; waiver, per diem	$11.98M
31	W0200		$11.36M
32	90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	$11.10M
33	99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	$11.00M
34	T2047	Habilitation, prevocational, waiver; per 15 minutes	$10.87M
35	90999	Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient	$10.69M
36	W0720		$9.32M
37	Q3014	Telehealth originating site facility fee	$8.89M
38	T2024	Service assessment/plan of care development, waiver	$8.80M
39	T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	$8.61M
40	H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	$8.56M
41	W0710		$8.48M
42	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	$7.33M
43	H0035	Mental health partial hospitalization, treatment, less than 24 hours	$7.21M
44	W0510		$7.19M
45	98941	Chiropractic manipulative treatment; spinal, 3-4 regions	$6.74M
46	99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	$6.55M
47	H0004	Behavioral health counseling and therapy, per 15 minutes	$6.53M
48	S9480	Intensive outpatient psychiatric services, per diem	$6.33M
49	W0530		$5.98M
50	99282	Emergency department visit for the evaluation and management, low to moderate severity	$5.55M
51	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	$5.49M
52	00042		$5.20M
53	D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	$5.04M
54	H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	$4.94M
55	S9475	Ambulatory setting substance abuse treatment or detoxification services, per diem	$4.43M
56	T1016	Case management, each 15 minutes	$4.37M
57	A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	$4.32M
58	99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	$4.26M
59	W0705		$4.21M
60	99223	Prolong inpt eval add15 m	$4.21M
61	A0100	Non-emergency taxi ride to a medical appointmentNon-emergency transportation; taxi	$4.17M
62	T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	$4.08M
63	88305	Level IV - Surgical pathology, gross and microscopic examination	$4.00M
64	H2035	Alcohol and/or other drug treatment program, per hour	$3.92M
65	D1120	Dental cleaning, childProphylaxis - child	$3.77M
66	J0585	Injection, onabotulinumtoxina, 1 unit	$3.46M
67	90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	$3.33M
68	T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	$3.30M
69	H2018	Psychosocial rehabilitation services, per diem	$3.22M
70	A0430	Ambulance service, conventional air services, transport, one way (fixed wing)	$3.20M
71	S0215	Non-emergency transportation; mileage, per mile	$3.12M
72	92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	$3.05M
73	97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	$3.03M
74	512		$2.93M
75	D2392	Resin-based composite - two surfaces, posterior, primary or permanent	$2.92M
76	74177	Computed tomography, abdomen and pelvis; with contrast material	$2.91M
77	A4520	Incontinence garment, any type, (e.g., brief, diaper), each	$2.82M
78	90853	Group psychotherapy (other than of a multiple-family group)	$2.81M
79	S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	$2.78M
80	A0436	Rotary wing air mileage, per statute mile	$2.78M
81	D2930	Prefabricated stainless steel crown - primary tooth	$2.63M
82	99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	$2.58M
83	D1206	Topical application of fluoride varnish	$2.53M
84	D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	$2.52M
85	W0230		$2.45M
86	99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	$2.43M
87	W0520		$2.42M
88	96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	$2.42M
89	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	$2.41M
90	S5126	Attendant care services; per diem	$2.39M
91	99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	$2.33M
92	99239	Hospital discharge day management, more than 30 minutes	$2.33M
93	80053	Comprehensive metabolic panel	$2.32M
94	H2010	Comprehensive medication services, per 15 minutes	$2.30M
95	T2023	Targeted case management; per month	$2.29M
96	A0435	Fixed wing air mileage, per statute mile	$2.22M
97	99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	$2.16M
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	$2.14M
99	80307	Drug test(s), presumptive, any number of drug classes; immunoassay	$2.11M
100	92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	$2.01M
101	H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	$2.00M
102	D1110	Prophylaxis - adult	$1.95M
103	A0428	Ambulance service, basic life support, non-emergency transport, (bls)	$1.88M
104	36415	Collection of venous blood by venipuncture	$1.88M
105	D0140	Limited oral evaluation - problem focused	$1.85M
106	93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	$1.67M
107	62323		$1.65M
108	99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	$1.64M
109	H2014	Skills training and development, per 15 minutes	$1.63M
110	92015	Determination of refractive state	$1.61M
111	90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	$1.60M
112	D7140	Extraction, erupted tooth or exposed root	$1.60M
113	D0150	Comprehensive oral evaluation - new or established patient	$1.59M
114	D2391	Resin-based composite - one surface, posterior, primary or permanent	$1.58M
115	90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	$1.53M
116	90472	Immunization administration, each additional vaccine (list separately)	$1.52M
117	96361	Intravenous infusion, hydration; each additional hour	$1.48M
118	T1002	Rn services, up to 15 minutes	$1.48M
119	99309	Subsequent nursing facility care, per day, low to moderate complexity	$1.47M
120	90792	Psychiatric diagnostic evaluation with medical services	$1.45M
121	H0002	Behavioral health screening to determine eligibility for admission to treatment program	$1.43M
122	A0080	Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest	$1.43M
123	E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	$1.40M
124	D1351	Sealant - per tooth	$1.38M
125	A0998	Ambulance response and treatment, no transport	$1.35M
126	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	$1.35M
127	A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	$1.35M
128	43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	$1.33M
129	92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	$1.33M
130	93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	$1.32M
131	98940		$1.30M
132	71045	Radiologic examination, chest; single view	$1.27M
133	76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	$1.26M
134	H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	$1.25M
135	77067	Screening mammography, bilateral, including computer-aided detection	$1.23M
136	70450	Computed tomography, head or brain; without contrast material	$1.21M
137	S5150	Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes	$1.20M
138	99222	Initial hospital care, per day, moderate complexity	$1.19M
139	0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	$1.18M
140	W0730		$1.18M
141	E0601	Continuous positive airway pressure (cpap) device	$1.17M
142	97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	$1.15M
143	S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	$1.14M
144	D7240	Removal of impacted tooth - completely bony	$1.12M
145	B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	$1.12M
146	D8090		$1.09M
147	99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	$1.05M
148	85025	Blood count; complete (CBC), automated, and automated differential WBC count	$1.05M
149	71046	Radiologic examination, chest; 2 views	$1.03M
150	T1030	Nursing care, in the home, by registered nurse, per diem	$1.02M
151	D0272	Bitewings - two radiographic images	$976K
152	64615		$966K
153	92508	Group treatment of speech, language, voice, communication, and/or auditory processing disorder	$935K
154	90785		$899K
155	D1208	Topical application of fluoride, excluding varnish	$894K
156	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	$865K
157	99238	Hospital discharge day management, 30 minutes or less	$818K
158	97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	$787K
159	84443	Thyroid stimulating hormone (TSH)	$768K
160	D9222		$762K
161	D0274	Bitewings - four radiographic images	$750K
162	G0378	Hospital observation service, per hour	$742K
163	G0299	Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes	$742K
164	92340	Fitting of spectacles, except for aphakia; monofocal	$741K
165	H2011	Crisis intervention service, per 15 minutes	$740K
166	D0330	Panoramic radiographic image	$739K
167	99231	Subsequent hospital care, per day, straightforward or low complexity	$733K
168	87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	$727K
169	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	$724K
170	A7030	Full face mask used with positive airway pressure device, each	$717K
171	A0130	Non-emergency transportation: wheelchair van	$704K
172	A0170	Transportation ancillary: parking fees, tolls, other	$695K
173	96375	Therapeutic injection; each additional sequential IV push	$694K
174	D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	$688K
175	D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	$676K
176	H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	$676K
177	76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	$674K
178	80061	Lipid panel	$673K
179	67028	Intravitreal injection of a pharmacologic agent	$673K
180	90847	Family psychotherapy with the patient present, 50 minutes	$659K
181	80050	General health panel	$644K
182	90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	$637K
183	88307		$616K
184	W0210		$602K
185	69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	$599K
186	90460	Immunization administration through 18 years of age via any route, first or only component	$582K
187	S0209	Wheelchair van, mileage, per mile	$567K
188	D9420		$543K
189	99308	Subsequent nursing facility care, per day, straightforward	$543K
190	H0037	Community psychiatric supportive treatment program, per diem	$542K
191	99205	Prolong outpt/office vis	$527K
192	A4230	Infusion set for external insulin pump, non needle cannula type	$523K
193	T2003	Non-emergency transportation, per tripNon-emergency transportation; encounter/trip	$519K
194	S5130	Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes	$518K
195	J0178	Injection, aflibercept, 1 mg	$516K
196	00015		$512K
197	96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	$510K
198	A7031	Face mask interface, replacement for full face mask, each	$505K
199	82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	$496K
200	41899	Unlisted procedure, dentoalveolar structures	$478K