Medicaid Provider Spending

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

Billing Codes in New Hampshire

All 1,745 procedure codes billed by Medicaid providers in New Hampshire, ranked by total spending.

#CodeDescriptionTotal Paid
1 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) $1.32B
2 T2021 Day habilitation, waiver; per 15 minutes $493.93M
3 T1016 Case management, each 15 minutes $413.17M
4 T2025 Waiver services; not otherwise specified (nos) $373.94M
5 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) $280.94M
6 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 $229.85M
7 S5140 Foster care, adult; per diem $177.84M
8 T1015 Clinic visit/encounter, all-inclusive $159.41M
9 H2019 Therapeutic behavioral services, per 15 minutes $144.39M
10 E0766 Electrical stimulation device used for cancer treatment, includes all accessories, any type $112.84M
11 99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $92.93M
12 T2022 Case management, per month $79.45M
13 H2022 Community-based wrap-around services, per diem $74.51M
14 T2033 Residential care, not otherwise specified (nos), waiver; per diem $71.99M
15 H2023 Supported employment, per 15 minutes $65.87M
16 H2020 Therapeutic behavioral services, per diem $62.30M
17 H2036 Alcohol and/or other drug treatment program, per diem $61.95M
18 T2016 Habilitation, residential, waiver; per diem $59.12M
19 99284 Emergency department visit for the evaluation and management, high severity $56.64M
20 H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem $55.64M
21 90837 Psychotherapy, 53 minutes with patient $55.61M
22 99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $55.43M
23 H2017 Psychosocial rehabilitation services, per 15 minutes $53.38M
24 99283 Emergency department visit for the evaluation and management, moderate severity $48.42M
25 99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life $47.66M
26 H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) $46.19M
27 90834 Psychotherapy, 45 minutes with patient $45.06M
28 T1024 Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter $40.06M
29 H2015 Comprehensive community support services, per 15 minutes $39.54M
30 G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes $38.93M
31 T2023 Targeted case management; per month $35.08M
32 H0040 Assertive community treatment program, per diem $33.62M
33 T1030 Nursing care, in the home, by registered nurse, per diem $32.18M
34 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) $28.37M
35 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder $27.26M
36 S9124 Nursing care, in the home; by licensed practical nurse, per hour $25.05M
37 97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion $24.51M
38 T2017 Habilitation, residential, waiver; 15 minutes $23.10M
39 74177 Computed tomography, abdomen and pelvis; with contrast material $22.63M
40 97530 Therapeutic activities, direct patient contact, each 15 minutes $22.14M
41 T1005 Respite care services, up to 15 minutes $20.73M
42 90847 Family psychotherapy with the patient present, 50 minutes $18.71M
43 H0043 Supported housing, per diem $16.17M
44 H2011 Crisis intervention service, per 15 minutes $15.76M
45 T1027 Family training and counseling for child development, per 15 minutes $15.49M
46 D1120 Prophylaxis - child $14.54M
47 D0120 Periodic oral evaluation - established patient $13.98M
48 H0004 Behavioral health counseling and therapy, per 15 minutes $13.54M
49 S9485 Crisis intervention mental health services, per diem $12.03M
50 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 $12.00M
51 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 $11.85M
52 H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) $11.76M
53 H2021 Community-based wrap-around services, per 15 minutes $11.22M
54 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) $11.20M
55 70450 Computed tomography, head or brain; without contrast material $10.55M
56 D2392 Resin-based composite - two surfaces, posterior, primary or permanent $10.41M
57 99282 Emergency department visit for the evaluation and management, low to moderate severity $9.64M
58 97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) $9.47M
59 H2018 Psychosocial rehabilitation services, per diem $9.46M
60 80307 Drug test(s), presumptive, any number of drug classes; immunoassay $9.18M
61 90999 Unlisted dialysis procedure, inpatient or outpatient $9.14M
62 90832 Psychotherapy, 30 minutes with patient $9.00M
63 97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes $9.00M
64 G0378 Hospital observation service, per hour $8.94M
65 E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate $7.93M
66 A0425 Ground mileage, per statute mile $7.77M
67 D2930 Prefabricated stainless steel crown - primary tooth $7.49M
68 A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) $7.36M
69 H0038 Self-help/peer services, per 15 minutes $7.19M
70 D1110 Prophylaxis - adult $7.13M
71 H0034 Medication training and support, per 15 minutes $7.10M
72 90846 Family psychotherapy without the patient present, 50 minutes $7.05M
73 90791 Psychiatric diagnostic evaluation $6.85M
74 G9012 Other specified case management service not elsewhere classified $6.48M
75 D1351 Sealant - per tooth $6.15M
76 99341 $6.09M
77 H0041 Foster care, child, non-therapeutic, per diem $6.02M
78 T2015 Habilitation, prevocational, waiver; per hour $5.95M
79 S5102 Day care services, adult; per diem $5.70M
80 87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV $5.65M
81 S5130 Homemaker service, nos; per 15 minutes $5.54M
82 D2391 Resin-based composite - one surface, posterior, primary or permanent $5.51M
83 T1006 Alcohol and/or substance abuse services, family/couple counseling $5.39M
84 A0429 Ambulance service, basic life support, emergency transport (bls-emergency) $5.36M
85 97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination $5.35M
86 71046 Radiologic examination, chest; 2 views $5.22M
87 S5170 Home delivered meals, including preparation; per meal $5.13M
88 92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient $5.11M
89 D1208 Topical application of fluoride, excluding varnish $5.05M
90 H2034 Alcohol and/or drug abuse halfway house services, per diem $5.02M
91 H2012 Behavioral health day treatment, per hour $4.99M
92 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 $4.93M
93 99215 Prolong outpt/office vis $4.89M
94 D1206 Topical application of fluoride varnish $4.84M
95 D7140 Extraction, erupted tooth or exposed root $4.81M
96 D8080 Comprehensive orthodontic treatment of the adolescent dentition $4.73M
97 96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance $4.69M
98 H0047 Alcohol and/or other drug abuse services, not otherwise specified $4.65M
99 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 $4.60M
100 93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report $4.51M
101 96361 Intravenous infusion, hydration; each additional hour $4.51M
102 D9230 Inhalation of nitrous oxide / analgesia, anxiolysis $4.26M
103 T1025 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem $4.22M
104 S0201 Partial hospitalization services, less than 24 hours, per diem $4.17M
105 D0150 Comprehensive oral evaluation - new or established patient $4.15M
106 96375 Therapeutic injection; each additional sequential IV push $3.91M
107 93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete $3.87M
108 B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape $3.87M
109 88305 Level IV - Surgical pathology, gross and microscopic examination $3.78M
110 H2027 Psychoeducational service, per 15 minutes $3.74M
111 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour $3.67M
112 92015 Determination of refractive state $3.67M
113 G0463 Hospital outpatient clinic visit for assessment and management of a patient $3.48M
114 99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) $3.47M
115 99232 Subsequent hospital care, per day, moderate complexity $3.43M
116 87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe $3.42M
117 97161 $3.37M
118 D1354 $3.33M
119 99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) $3.31M
120 90853 Group psychotherapy (other than of a multiple-family group) $3.30M
121 99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity $3.27M
122 99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity $3.27M
123 92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient $3.26M
124 80053 Comprehensive metabolic panel $3.24M
125 D0272 Bitewings - two radiographic images $3.21M
126 D0140 Limited oral evaluation - problem focused $3.19M
127 D0274 Bitewings - four radiographic images $3.16M
128 T1021 Home health aide or certified nurse assistant, per visit $3.15M
129 H0001 Alcohol and/or drug assessment $2.93M
130 71275 Computed tomographic angiography, chest, with contrast material $2.90M
131 74176 Computed tomography, abdomen and pelvis; without contrast material $2.88M
132 A0431 Ambulance service, conventional air services, transport, one way (rotary wing) $2.87M
133 T2003 Non-emergency transportation; encounter/trip $2.87M
134 92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder $2.82M
135 99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward $2.77M
136 T1013 Sign language or oral interpretive services, per 15 minutes $2.77M
137 70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences $2.74M
138 43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple $2.72M
139 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 $2.66M
140 V2020 Frames, purchases $2.62M
141 D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth $2.57M
142 71045 Radiologic examination, chest; single view $2.50M
143 85025 Blood count; complete (CBC), automated, and automated differential WBC count $2.41M
144 99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) $2.41M
145 92340 Fitting of spectacles, except for aphakia; monofocal $2.34M
146 S9484 Crisis intervention mental health services, per hour $2.34M
147 H0005 Alcohol and/or drug services; group counseling by a clinician $2.18M
148 J0585 Injection, onabotulinumtoxina, 1 unit $2.13M
149 A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) $2.11M
150 72125 Computed tomography, cervical spine; without contrast material $2.05M
151 T1001 Nursing assessment / evaluation $2.03M
152 D2150 Silver amalgam - two surfaces, primary or permanent $1.98M
153 A7030 Full face mask used with positive airway pressure device, each $1.93M
154 E0603 Breast pump, electric (ac and/or dc), any type $1.91M
155 71260 Computed tomography, thorax, diagnostic; with contrast material $1.86M
156 77067 Screening mammography, bilateral, including computer-aided detection $1.85M
157 D0330 Panoramic radiographic image $1.79M
158 90839 $1.72M
159 A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each $1.66M
160 96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular $1.66M
161 84443 Thyroid stimulating hormone (TSH) $1.62M
162 99233 Prolong inpt eval add15 m $1.60M
163 76705 Ultrasound, abdominal, real time with image documentation; limited $1.57M
164 A0428 Ambulance service, basic life support, non-emergency transport, (bls) $1.55M
165 97162 $1.52M
166 E0601 Continuous positive airway pressure (cpap) device $1.50M
167 00170 Anesthesia for intraoral procedures, including biopsy $1.49M
168 41899 Unlisted procedure, dentoalveolar structures $1.43M
169 G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes $1.41M
170 70551 Magnetic resonance imaging, brain; without contrast material $1.39M
171 93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only $1.39M
172 H2016 Comprehensive community support services, per diem $1.38M
173 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 $1.38M
174 Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml $1.38M
175 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour $1.37M
176 99205 Prolong outpt/office vis $1.36M
177 T2019 Habilitation, supported employment, waiver; per 15 minutes $1.36M
178 D2140 $1.34M
179 96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance $1.34M
180 B9998 Noc for enteral supplies $1.33M
181 T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each $1.32M
182 G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit $1.31M
183 D2940 $1.30M
184 E2402 Negative pressure wound therapy electrical pump, stationary or portable $1.29M
185 87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe $1.28M
186 87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe $1.27M
187 99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) $1.26M
188 D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction $1.26M
189 99408 $1.25M
190 E1399 Durable medical equipment, miscellaneous $1.23M
191 S5165 Home modifications; per service $1.23M
192 87428 $1.22M
193 S9342 Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem $1.19M
194 99281 Emergency department visit for the evaluation and management, self-limited or minor $1.19M
195 97535 Self-care/home management training, each 15 minutes $1.16M
196 T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each $1.16M
197 87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) $1.14M
198 G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source $1.11M
199 80061 Lipid panel $1.10M
200 99244 Office or other outpatient consultation, moderate to high complexity $1.07M