All 3,066 procedure codes billed by Medicaid providers in New Mexico, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | 99509 | Home visit for assistance with activities of daily living and personal care | $1.34B |
| 2 | 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) | $1.18B |
| 3 | T2016 | Habilitation, residential, waiver; per diem | $883.72M |
| 4 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $486.82M |
| 5 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $472.35M |
| 6 | T2033 | Residential care, not otherwise specified (nos), waiver; per diem | $421.56M |
| 7 | 90837 | Psychotherapy, 53 minutes with patient | $334.14M |
| 8 | 99284 | Emergency department visit for the evaluation and management, high severity | $299.02M |
| 9 | H2021 | Community-based wrap-around services, per 15 minutes | $270.71M |
| 10 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $247.97M |
| 11 | T1027 | Family training and counseling for child development, per 15 minutes | $206.96M |
| 12 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $203.58M |
| 13 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $197.08M |
| 14 | S5125 | Attendant care services; per 15 minutes | $191.39M |
| 15 | A0100 | Non-emergency transportation; taxi | $188.08M |
| 16 | G9006 | Coordinated care fee, home monitoring | $161.64M |
| 17 | H2015 | Comprehensive community support services, per 15 minutes | $146.57M |
| 18 | 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 | $146.42M |
| 19 | S5145 | Foster care, therapeutic, child; per diem | $134.91M |
| 20 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $123.39M |
| 21 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $108.33M |
| 22 | T1015 | Clinic visit/encounter, all-inclusive | $107.51M |
| 23 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $104.24M |
| 24 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $104.08M |
| 25 | Q3014 | Telehealth originating site facility fee | $97.83M |
| 26 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $95.11M |
| 27 | T2022 | Case management, per month | $92.62M |
| 28 | T2021 | Day habilitation, waiver; per 15 minutes | $85.17M |
| 29 | T2023 | Targeted case management; per month | $81.85M |
| 30 | D0999 | Unspecified diagnostic procedure, by report | $81.21M |
| 31 | 90834 | Psychotherapy, 45 minutes with patient | $81.11M |
| 32 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $78.86M |
| 33 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $78.41M |
| 34 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $73.58M |
| 35 | G9001 | Coordinated care fee, initial rate | $72.67M |
| 36 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $66.05M |
| 37 | A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | $62.08M |
| 38 | G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | $61.47M |
| 39 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $58.26M |
| 40 | T2025 | Waiver services; not otherwise specified (nos) | $54.49M |
| 41 | D1120 | Prophylaxis - child | $52.15M |
| 42 | A0435 | Fixed wing air mileage, per statute mile | $50.90M |
| 43 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $49.92M |
| 44 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $48.32M |
| 45 | H0039 | Assertive community treatment, face-to-face, per 15 minutes | $48.10M |
| 46 | H2019 | Therapeutic behavioral services, per 15 minutes | $47.68M |
| 47 | 99215 | Prolong outpt/office vis | $46.64M |
| 48 | 90832 | Psychotherapy, 30 minutes with patient | $46.03M |
| 49 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $45.95M |
| 50 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $45.81M |
| 51 | 70450 | Computed tomography, head or brain; without contrast material | $44.77M |
| 52 | T2031 | Assisted living; waiver, per diem | $42.70M |
| 53 | 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | $40.76M |
| 54 | D0150 | Comprehensive oral evaluation - new or established patient | $39.11M |
| 55 | S0201 | Partial hospitalization services, less than 24 hours, per diem | $38.88M |
| 56 | G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | $37.88M |
| 57 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $37.64M |
| 58 | D2930 | Prefabricated stainless steel crown - primary tooth | $36.95M |
| 59 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $36.74M |
| 60 | 90853 | Group psychotherapy (other than of a multiple-family group) | $36.60M |
| 61 | 99233 | Prolong inpt eval add15 m | $36.51M |
| 62 | G0378 | Hospital observation service, per hour | $35.55M |
| 63 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $35.53M |
| 64 | 99232 | Subsequent hospital care, per day, moderate complexity | $34.68M |
| 65 | H2033 | Multisystemic therapy for juveniles, per 15 minutes | $34.36M |
| 66 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $34.21M |
| 67 | 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | $33.93M |
| 68 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $31.93M |
| 69 | H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | $31.45M |
| 70 | T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | $31.28M |
| 71 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $30.37M |
| 72 | D1208 | Topical application of fluoride, excluding varnish | $29.59M |
| 73 | G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | $28.49M |
| 74 | T2001 | Non-emergency transportation; patient attendant/escort | $26.05M |
| 75 | J0178 | Injection, aflibercept, 1 mg | $25.88M |
| 76 | 80053 | Comprehensive metabolic panel | $25.76M |
| 77 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $25.47M |
| 78 | Q5003 | Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) | $24.87M |
| 79 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $24.23M |
| 80 | D0274 | Bitewings - four radiographic images | $24.05M |
| 81 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $23.58M |
| 82 | 90791 | Psychiatric diagnostic evaluation | $23.54M |
| 83 | 90847 | Family psychotherapy with the patient present, 50 minutes | $23.48M |
| 84 | 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | $23.42M |
| 85 | J0585 | Injection, onabotulinumtoxina, 1 unit | $23.42M |
| 86 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $23.13M |
| 87 | Q5004 | Hospice care provided in skilled nursing facility (snf) | $22.98M |
| 88 | A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $22.41M |
| 89 | 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | $22.34M |
| 90 | D0120 | Periodic oral evaluation - established patient | $22.12M |
| 91 | 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 | $21.62M |
| 92 | A0425 | Ground mileage, per statute mile | $21.58M |
| 93 | 71045 | Radiologic examination, chest; single view | $21.25M |
| 94 | 96375 | Therapeutic injection; each additional sequential IV push | $20.71M |
| 95 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $20.38M |
| 96 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $20.23M |
| 97 | 76820 | $20.01M | |
| 98 | 74176 | Computed tomography, abdomen and pelvis; without contrast material | $19.98M |
| 99 | 76819 | Fetal biophysical profile; without non-stress testing | $19.91M |
| 100 | H2000 | Comprehensive multidisciplinary evaluation | $19.02M |
| 101 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $19.00M |
| 102 | 90460 | Immunization administration through 18 years of age via any route, first or only component | $18.55M |
| 103 | 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | $18.39M |
| 104 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $18.39M |
| 105 | 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | $18.21M |
| 106 | T1017 | Targeted case management, each 15 minutes | $17.92M |
| 107 | D7140 | Extraction, erupted tooth or exposed root | $17.88M |
| 108 | A0436 | Rotary wing air mileage, per statute mile | $17.58M |
| 109 | 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 | $17.49M |
| 110 | D0220 | Intraoral - periapical first radiographic image | $16.52M |
| 111 | 90461 | $16.45M | |
| 112 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $16.06M |
| 113 | 71046 | Radiologic examination, chest; 2 views | $15.93M |
| 114 | 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | $15.80M |
| 115 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $15.70M |
| 116 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $15.67M |
| 117 | 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 | $15.63M |
| 118 | G9003 | Coordinated care fee, risk adjusted high, initial | $15.46M |
| 119 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $15.24M |
| 120 | D1110 | Prophylaxis - adult | $15.07M |
| 121 | G0157 | Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes | $14.97M |
| 122 | G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | $14.87M |
| 123 | 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | $14.78M |
| 124 | 96361 | Intravenous infusion, hydration; each additional hour | $14.76M |
| 125 | 41899 | Unlisted procedure, dentoalveolar structures | $14.58M |
| 126 | S9122 | Home health aide or certified nurse assistant, providing care in the home; per hour | $14.16M |
| 127 | D7240 | Removal of impacted tooth - completely bony | $14.11M |
| 128 | T1002 | Rn services, up to 15 minutes | $14.01M |
| 129 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $13.92M |
| 130 | D0272 | Bitewings - two radiographic images | $13.81M |
| 131 | 77067 | Screening mammography, bilateral, including computer-aided detection | $13.71M |
| 132 | 99223 | Prolong inpt eval add15 m | $13.59M |
| 133 | T2046 | Hospice long term care, room and board only; per diem | $13.56M |
| 134 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $12.91M |
| 135 | 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | $12.88M |
| 136 | 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | $12.81M |
| 137 | G0158 | Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes | $12.80M |
| 138 | D0230 | Intraoral - periapical each additional radiographic image | $12.67M |
| 139 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $12.60M |
| 140 | H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | $12.59M |
| 141 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $12.52M |
| 142 | 71275 | Computed tomographic angiography, chest, with contrast material | $12.47M |
| 143 | 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | $11.97M |
| 144 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $11.69M |
| 145 | S5165 | Home modifications; per service | $11.52M |
| 146 | 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | $11.34M |
| 147 | D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | $11.16M |
| 148 | 84443 | Thyroid stimulating hormone (TSH) | $11.03M |
| 149 | T1005 | Respite care services, up to 15 minutes | $10.88M |
| 150 | D8080 | Comprehensive orthodontic treatment of the adolescent dentition | $10.76M |
| 151 | 72125 | Computed tomography, cervical spine; without contrast material | $10.71M |
| 152 | 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | $10.68M |
| 153 | G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $10.66M |
| 154 | Q5001 | Hospice or home health care provided in patient's home/residence | $10.64M |
| 155 | D0140 | Limited oral evaluation - problem focused | $10.61M |
| 156 | V2020 | Frames, purchases | $10.37M |
| 157 | 99442 | $10.36M | |
| 158 | 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | $10.24M |
| 159 | 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | $10.23M |
| 160 | D1351 | Sealant - per tooth | $10.06M |
| 161 | 92340 | Fitting of spectacles, except for aphakia; monofocal | $9.98M |
| 162 | 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | $9.95M |
| 163 | 45380 | Colonoscopy, flexible; with biopsy, single or multiple | $9.87M |
| 164 | 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | $9.80M |
| 165 | 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | $9.68M |
| 166 | E0601 | Continuous positive airway pressure (cpap) device | $9.62M |
| 167 | H2016 | Comprehensive community support services, per diem | $9.58M |
| 168 | 36415 | Collection of venous blood by venipuncture | $9.57M |
| 169 | 90792 | Psychiatric diagnostic evaluation with medical services | $9.47M |
| 170 | S9088 | Services provided in an urgent care center (list in addition to code for service) | $9.43M |
| 171 | T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | $9.15M |
| 172 | 76818 | $8.91M | |
| 173 | 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | $8.90M |
| 174 | A7030 | Full face mask used with positive airway pressure device, each | $8.84M |
| 175 | 87631 | $8.80M | |
| 176 | D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | $8.78M |
| 177 | 76801 | $8.64M | |
| 178 | 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | $8.51M |
| 179 | T1026 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour | $8.51M |
| 180 | 71260 | Computed tomography, thorax, diagnostic; with contrast material | $8.37M |
| 181 | 90846 | Family psychotherapy without the patient present, 50 minutes | $8.36M |
| 182 | 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | $8.21M |
| 183 | 76705 | Ultrasound, abdominal, real time with image documentation; limited | $8.20M |
| 184 | 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | $8.19M |
| 185 | H0031 | Mental health assessment, by non-physician | $8.18M |
| 186 | 80048 | Basic metabolic panel (calcium, ionized) | $8.17M |
| 187 | 99441 | $8.14M | |
| 188 | 90378 | $8.14M | |
| 189 | H0038 | Self-help/peer services, per 15 minutes | $8.10M |
| 190 | 80050 | General health panel | $7.81M |
| 191 | E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | $7.64M |
| 192 | 99239 | Hospital discharge day management, more than 30 minutes | $7.63M |
| 193 | 95810 | Polysomnography; sleep staging with 4 or more additional parameters | $7.60M |
| 194 | 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | $7.60M |
| 195 | 97150 | Therapeutic procedure(s), group (2 or more individuals) | $7.57M |
| 196 | 80061 | Lipid panel | $7.50M |
| 197 | J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | $7.33M |
| 198 | 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | $7.30M |
| 199 | 0002A | $7.29M | |
| 200 | 0001A | $7.29M |