All 2,190 procedure codes billed by Medicaid providers in Nebraska, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $212.88M |
| 2 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $149.88M |
| 3 | T1015 | Clinic visit/encounter, all-inclusive | $101.44M |
| 4 | 99284 | Emergency department visit for the evaluation and management, high severity | $86.73M |
| 5 | 90834 | Psychotherapy, 45 minutes with patient | $86.00M |
| 6 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $84.43M |
| 7 | 90837 | Psychotherapy, 53 minutes with patient | $79.72M |
| 8 | H2016 | Comprehensive community support services, per diem | $45.89M |
| 9 | H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | $44.23M |
| 10 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $40.52M |
| 11 | H2018 | Psychosocial rehabilitation services, per diem | $31.23M |
| 12 | 41899 | Unlisted procedure, dentoalveolar structures | $30.79M |
| 13 | H2015 | Comprehensive community support services, per 15 minutes | $27.62M |
| 14 | 96361 | Intravenous infusion, hydration; each additional hour | $27.16M |
| 15 | 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 | $26.20M |
| 16 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $26.12M |
| 17 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $23.35M |
| 18 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $23.06M |
| 19 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $21.81M |
| 20 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $21.61M |
| 21 | D1206 | Topical application of fluoride varnish | $19.74M |
| 22 | D0120 | Periodic oral evaluation - established patient | $17.69M |
| 23 | D1120 | Prophylaxis - child | $17.45M |
| 24 | H0040 | Assertive community treatment program, per diem | $16.87M |
| 25 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $16.63M |
| 26 | 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | $16.55M |
| 27 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $16.19M |
| 28 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $14.92M |
| 29 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $14.42M |
| 30 | A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | $14.42M |
| 31 | 70450 | Computed tomography, head or brain; without contrast material | $14.26M |
| 32 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $13.57M |
| 33 | 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) | $13.44M |
| 34 | A0425 | Ground mileage, per statute mile | $12.89M |
| 35 | D2930 | Prefabricated stainless steel crown - primary tooth | $12.80M |
| 36 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $12.30M |
| 37 | S9124 | Nursing care, in the home; by licensed practical nurse, per hour | $11.23M |
| 38 | D1351 | Sealant - per tooth | $10.79M |
| 39 | 90792 | Psychiatric diagnostic evaluation with medical services | $10.48M |
| 40 | 92340 | Fitting of spectacles, except for aphakia; monofocal | $9.62M |
| 41 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $9.52M |
| 42 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $9.40M |
| 43 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $9.34M |
| 44 | 99232 | Subsequent hospital care, per day, moderate complexity | $9.33M |
| 45 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $9.28M |
| 46 | G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | $9.22M |
| 47 | 80053 | Comprehensive metabolic panel | $9.20M |
| 48 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $9.20M |
| 49 | T2016 | Habilitation, residential, waiver; per diem | $8.83M |
| 50 | H2033 | Multisystemic therapy for juveniles, per 15 minutes | $8.64M |
| 51 | D1110 | Prophylaxis - adult | $8.61M |
| 52 | 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | $8.52M |
| 53 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $8.33M |
| 54 | G0378 | Hospital observation service, per hour | $8.02M |
| 55 | 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | $7.80M |
| 56 | G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | $7.74M |
| 57 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $7.73M |
| 58 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $7.59M |
| 59 | G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | $7.55M |
| 60 | 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | $7.47M |
| 61 | V2020 | Frames, purchases | $7.28M |
| 62 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $7.27M |
| 63 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $7.13M |
| 64 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $6.95M |
| 65 | A9274 | External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories | $6.80M |
| 66 | 99233 | Prolong inpt eval add15 m | $6.50M |
| 67 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $6.46M |
| 68 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $6.38M |
| 69 | 0202U | Oncology (prostate), multianalyte, gene expression profiling | $6.34M |
| 70 | 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | $6.16M |
| 71 | 71045 | Radiologic examination, chest; single view | $6.10M |
| 72 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $5.94M |
| 73 | 98940 | $5.85M | |
| 74 | H2034 | Alcohol and/or drug abuse halfway house services, per diem | $5.75M |
| 75 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $5.74M |
| 76 | D7240 | Removal of impacted tooth - completely bony | $5.59M |
| 77 | 71046 | Radiologic examination, chest; 2 views | $5.58M |
| 78 | D7140 | Extraction, erupted tooth or exposed root | $5.51M |
| 79 | 92015 | Determination of refractive state | $5.46M |
| 80 | 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | $5.24M |
| 81 | A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | $5.19M |
| 82 | T1002 | Rn services, up to 15 minutes | $5.02M |
| 83 | H2027 | Psychoeducational service, per 15 minutes | $4.95M |
| 84 | 99215 | Prolong outpt/office vis | $4.92M |
| 85 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $4.89M |
| 86 | D1999 | $4.82M | |
| 87 | 99490 | Ccm add 20min | $4.66M |
| 88 | 90832 | Psychotherapy, 30 minutes with patient | $4.65M |
| 89 | S9485 | Crisis intervention mental health services, per diem | $4.63M |
| 90 | 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 | $4.56M |
| 91 | 36415 | Collection of venous blood by venipuncture | $4.54M |
| 92 | 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | $4.37M |
| 93 | 90847 | Family psychotherapy with the patient present, 50 minutes | $4.33M |
| 94 | 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | $4.25M |
| 95 | 74176 | Computed tomography, abdomen and pelvis; without contrast material | $4.24M |
| 96 | 90791 | Psychiatric diagnostic evaluation | $4.13M |
| 97 | 90686 | $4.10M | |
| 98 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $4.08M |
| 99 | 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | $3.97M |
| 100 | T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | $3.97M |
| 101 | D0150 | Comprehensive oral evaluation - new or established patient | $3.96M |
| 102 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $3.87M |
| 103 | 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | $3.86M |
| 104 | G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | $3.82M |
| 105 | D0272 | Bitewings - two radiographic images | $3.77M |
| 106 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $3.74M |
| 107 | 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 | $3.73M |
| 108 | 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | $3.73M |
| 109 | A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | $3.70M |
| 110 | 00170 | Anesthesia for intraoral procedures, including biopsy | $3.67M |
| 111 | D0274 | Bitewings - four radiographic images | $3.50M |
| 112 | D8090 | $3.43M | |
| 113 | D0210 | Intraoral - complete series of radiographic images | $3.40M |
| 114 | 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | $3.39M |
| 115 | A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | $3.34M |
| 116 | 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 | $3.33M |
| 117 | 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 | $3.20M |
| 118 | 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | $3.17M |
| 119 | S0215 | Non-emergency transportation; mileage, per mile | $3.14M |
| 120 | 71275 | Computed tomographic angiography, chest, with contrast material | $3.09M |
| 121 | E2402 | Negative pressure wound therapy electrical pump, stationary or portable | $3.03M |
| 122 | 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | $3.00M |
| 123 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $2.95M |
| 124 | K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | $2.94M |
| 125 | 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 | $2.94M |
| 126 | 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $2.93M |
| 127 | J3490 | Unclassified drugs | $2.91M |
| 128 | D8080 | Comprehensive orthodontic treatment of the adolescent dentition | $2.91M |
| 129 | 84443 | Thyroid stimulating hormone (TSH) | $2.83M |
| 130 | V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $2.76M |
| 131 | D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | $2.74M |
| 132 | 71260 | Computed tomography, thorax, diagnostic; with contrast material | $2.72M |
| 133 | T2033 | Residential care, not otherwise specified (nos), waiver; per diem | $2.66M |
| 134 | T4541 | Incontinence product, disposable underpad, large, each | $2.66M |
| 135 | 95810 | Polysomnography; sleep staging with 4 or more additional parameters | $2.62M |
| 136 | 99223 | Prolong inpt eval add15 m | $2.55M |
| 137 | E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | $2.52M |
| 138 | 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | $2.49M |
| 139 | D1208 | Topical application of fluoride, excluding varnish | $2.46M |
| 140 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $2.42M |
| 141 | A4230 | Infusion set for external insulin pump, non needle cannula type | $2.38M |
| 142 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $2.37M |
| 143 | 80050 | General health panel | $2.31M |
| 144 | 93325 | $2.31M | |
| 145 | D0330 | Panoramic radiographic image | $2.30M |
| 146 | T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | $2.29M |
| 147 | D0140 | Limited oral evaluation - problem focused | $2.28M |
| 148 | E0445 | Oximeter device for measuring blood oxygen levels non-invasively | $2.27M |
| 149 | T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | $2.20M |
| 150 | T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | $2.20M |
| 151 | 67028 | Intravitreal injection of a pharmacologic agent | $2.19M |
| 152 | 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 | $2.17M |
| 153 | 97012 | $2.16M | |
| 154 | J0585 | Injection, onabotulinumtoxina, 1 unit | $2.13M |
| 155 | 59025 | Fetal non-stress test | $2.11M |
| 156 | 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | $2.10M |
| 157 | 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | $2.07M |
| 158 | 99479 | Subsequent intensive care, per day, very low birth weight infant | $1.99M |
| 159 | V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | $1.99M |
| 160 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $1.99M |
| 161 | A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | $1.99M |
| 162 | 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | $1.99M |
| 163 | 76705 | Ultrasound, abdominal, real time with image documentation; limited | $1.93M |
| 164 | 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | $1.91M |
| 165 | 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | $1.91M |
| 166 | 76770 | $1.88M | |
| 167 | 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | $1.85M |
| 168 | E0601 | Continuous positive airway pressure (cpap) device | $1.84M |
| 169 | D0220 | Intraoral - periapical first radiographic image | $1.80M |
| 170 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $1.80M |
| 171 | 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | $1.79M |
| 172 | 76700 | Ultrasound, abdominal, real time with image documentation; complete | $1.77M |
| 173 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $1.76M |
| 174 | 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | $1.72M |
| 175 | 90378 | $1.70M | |
| 176 | D0230 | Intraoral - periapical each additional radiographic image | $1.70M |
| 177 | 90670 | $1.68M | |
| 178 | 95782 | $1.68M | |
| 179 | D0145 | Oral evaluation for a patient under three years of age | $1.68M |
| 180 | D2740 | Crown - porcelain/ceramic | $1.67M |
| 181 | A7030 | Full face mask used with positive airway pressure device, each | $1.64M |
| 182 | 99480 | Subsequent intensive care, per day, low birth weight infant | $1.63M |
| 183 | 80061 | Lipid panel | $1.59M |
| 184 | T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | $1.58M |
| 185 | H0012 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) | $1.55M |
| 186 | 99239 | Hospital discharge day management, more than 30 minutes | $1.54M |
| 187 | H2012 | Behavioral health day treatment, per hour | $1.54M |
| 188 | 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | $1.53M |
| 189 | G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | $1.52M |
| 190 | B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 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 | $1.52M |
| 191 | 76819 | Fetal biophysical profile; without non-stress testing | $1.51M |
| 192 | 77063 | Screening digital breast tomosynthesis, bilateral | $1.48M |
| 193 | 87631 | $1.48M | |
| 194 | 83036 | Hemoglobin; glycosylated (A1C) | $1.48M |
| 195 | 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | $1.48M |
| 196 | D9222 | $1.47M | |
| 197 | H0038 | Self-help/peer services, per 15 minutes | $1.46M |
| 198 | 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | $1.45M |
| 199 | 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | $1.44M |
| 200 | A4927 | Gloves, non-sterile, per 100 | $1.43M |