All 1,745 procedure codes billed by Medicaid providers in New Hampshire, ranked by total spending.
| # | Code | Description | Total 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 |