All 1,353 procedure codes billed by Medicaid providers in North Dakota, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | T2016 | Habilitation, residential, waiver; per diem | $407.99M |
| 2 | W0725 | $247.85M | |
| 3 | T2021 | Day habilitation, waiver; per 15 minutes | $172.51M |
| 4 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $102.56M |
| 5 | W0715 | $95.99M | |
| 6 | 99214 | 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 services; per 15 minutes | $48.14M |
| 9 | 99284 | Emergency department visit for the evaluation and management, high severity | $47.44M |
| 10 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $39.83M |
| 11 | 99285 | 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 | Ambulance 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 | Ambulance 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, 53 minutes with patient | $17.85M |
| 23 | A0425 | Ground mileage, per statute mile | $16.17M |
| 24 | W0260 | $15.50M | |
| 25 | 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) | $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 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, 45 minutes with patient | $11.10M |
| 33 | 99232 | Subsequent hospital care, per day, moderate complexity | $11.00M |
| 34 | T2047 | Habilitation, prevocational, waiver; per 15 minutes | $10.87M |
| 35 | 90999 | 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 | 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 | 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 | Periodic 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 | Prolong outpt/office vis | $4.26M |
| 59 | W0705 | $4.21M | |
| 60 | 99223 | Prolong inpt eval add15 m | $4.21M |
| 61 | A0100 | Non-emergency transportation; taxi | $4.17M |
| 62 | T1017 | Targeted 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 | Prophylaxis - 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 | 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 | 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 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, 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 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 | Unskilled 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 | Comprehensive 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; encounter/trip | $519K |
| 194 | S5130 | Homemaker 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 |