All 3,318 procedure codes billed by Medicaid providers in Nevada, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | 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) | $752.31M |
| 2 | T2017 | Habilitation, residential, waiver; 15 minutes | $695.27M |
| 3 | T1017 | Targeted case management, each 15 minutes | $335.82M |
| 4 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $311.14M |
| 5 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $266.64M |
| 6 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $241.27M |
| 7 | T1015 | Clinic visit/encounter, all-inclusive | $231.13M |
| 8 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $180.28M |
| 9 | 99284 | Emergency department visit for the evaluation and management, high severity | $176.12M |
| 10 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $171.33M |
| 11 | 99233 | Prolong inpt eval add15 m | $136.64M |
| 12 | 90837 | Psychotherapy, 53 minutes with patient | $134.40M |
| 13 | H2011 | Crisis intervention service, per 15 minutes | $129.14M |
| 14 | 90876 | $128.50M | |
| 15 | 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) | $120.81M |
| 16 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $115.26M |
| 17 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $113.02M |
| 18 | T2016 | Habilitation, residential, waiver; per diem | $101.86M |
| 19 | T1040 | Medicaid certified community behavioral health clinic services, per diem | $96.30M |
| 20 | 99232 | Subsequent hospital care, per day, moderate complexity | $91.83M |
| 21 | S9480 | Intensive outpatient psychiatric services, per diem | $87.32M |
| 22 | S9124 | Nursing care, in the home; by licensed practical nurse, per hour | $78.67M |
| 23 | S5102 | Day care services, adult; per diem | $71.44M |
| 24 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $71.23M |
| 25 | 99223 | Prolong inpt eval add15 m | $69.00M |
| 26 | T2020 | Day habilitation, waiver; per diem | $68.00M |
| 27 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $61.26M |
| 28 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $57.69M |
| 29 | H0004 | Behavioral health counseling and therapy, per 15 minutes | $56.83M |
| 30 | T2014 | Habilitation, prevocational, waiver; per diem | $55.98M |
| 31 | G0378 | Hospital observation service, per hour | $47.22M |
| 32 | D1120 | Prophylaxis - child | $46.93M |
| 33 | D1206 | Topical application of fluoride varnish | $41.30M |
| 34 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $38.42M |
| 35 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $36.75M |
| 36 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $36.25M |
| 37 | 41899 | Unlisted procedure, dentoalveolar structures | $35.09M |
| 38 | 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | $35.05M |
| 39 | A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $32.68M |
| 40 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $30.79M |
| 41 | 90460 | Immunization administration through 18 years of age via any route, first or only component | $29.49M |
| 42 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $29.47M |
| 43 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $28.92M |
| 44 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $28.86M |
| 45 | 70450 | Computed tomography, head or brain; without contrast material | $27.12M |
| 46 | T1016 | Case management, each 15 minutes | $26.25M |
| 47 | 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 | $26.20M |
| 48 | 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 | $23.00M |
| 49 | 99239 | Hospital discharge day management, more than 30 minutes | $22.60M |
| 50 | 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 | $21.86M |
| 51 | 90834 | Psychotherapy, 45 minutes with patient | $21.83M |
| 52 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $21.76M |
| 53 | A0436 | Rotary wing air mileage, per statute mile | $21.14M |
| 54 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $21.01M |
| 55 | D1351 | Sealant - per tooth | $20.20M |
| 56 | 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 | $20.09M |
| 57 | 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $20.04M |
| 58 | 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | $19.60M |
| 59 | T2033 | Residential care, not otherwise specified (nos), waiver; per diem | $19.35M |
| 60 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $19.14M |
| 61 | 74176 | Computed tomography, abdomen and pelvis; without contrast material | $19.00M |
| 62 | D0120 | Periodic oral evaluation - established patient | $18.48M |
| 63 | 99308 | Subsequent nursing facility care, per day, straightforward | $18.41M |
| 64 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $18.05M |
| 65 | H2027 | Psychoeducational service, per 15 minutes | $17.53M |
| 66 | V2020 | Frames, purchases | $17.36M |
| 67 | H0047 | Alcohol and/or other drug abuse services, not otherwise specified | $16.89M |
| 68 | Q3014 | Telehealth originating site facility fee | $16.52M |
| 69 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $16.37M |
| 70 | H2019 | Therapeutic behavioral services, per 15 minutes | $16.27M |
| 71 | D8080 | Comprehensive orthodontic treatment of the adolescent dentition | $16.02M |
| 72 | T2018 | Habilitation, supported employment, waiver; per diem | $15.90M |
| 73 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $15.53M |
| 74 | G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | $15.46M |
| 75 | H0033 | Oral medication administration, direct observation | $15.09M |
| 76 | A0425 | Ground mileage, per statute mile | $15.05M |
| 77 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $15.02M |
| 78 | T2025 | Waiver services; not otherwise specified (nos) | $14.96M |
| 79 | D0150 | Comprehensive oral evaluation - new or established patient | $14.93M |
| 80 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $14.50M |
| 81 | G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | $14.49M |
| 82 | 71275 | Computed tomographic angiography, chest, with contrast material | $14.27M |
| 83 | H2014 | Skills training and development, per 15 minutes | $14.15M |
| 84 | 99222 | Initial hospital care, per day, moderate complexity | $14.15M |
| 85 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $14.08M |
| 86 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $13.91M |
| 87 | H0034 | Medication training and support, per 15 minutes | $13.89M |
| 88 | 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | $13.80M |
| 89 | 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | $13.44M |
| 90 | H0035 | Mental health partial hospitalization, treatment, less than 24 hours | $13.25M |
| 91 | H2012 | Behavioral health day treatment, per hour | $13.16M |
| 92 | H0031 | Mental health assessment, by non-physician | $12.76M |
| 93 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $12.70M |
| 94 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $12.63M |
| 95 | 90847 | Family psychotherapy with the patient present, 50 minutes | $12.45M |
| 96 | 90791 | Psychiatric diagnostic evaluation | $12.23M |
| 97 | T2021 | Day habilitation, waiver; per 15 minutes | $12.16M |
| 98 | 90868 | $11.85M | |
| 99 | 71045 | Radiologic examination, chest; single view | $11.53M |
| 100 | D2930 | Prefabricated stainless steel crown - primary tooth | $11.50M |
| 101 | D0140 | Limited oral evaluation - problem focused | $11.36M |
| 102 | 92526 | $11.01M | |
| 103 | D0274 | Bitewings - four radiographic images | $10.97M |
| 104 | 76818 | $10.85M | |
| 105 | 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | $10.67M |
| 106 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $10.56M |
| 107 | S5126 | Attendant care services; per diem | $10.46M |
| 108 | T2003 | Non-emergency transportation; encounter/trip | $10.20M |
| 109 | 99215 | Prolong outpt/office vis | $10.20M |
| 110 | D0220 | Intraoral - periapical first radiographic image | $10.05M |
| 111 | D0330 | Panoramic radiographic image | $10.03M |
| 112 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $9.87M |
| 113 | 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | $9.78M |
| 114 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $9.78M |
| 115 | D0230 | Intraoral - periapical each additional radiographic image | $9.55M |
| 116 | 76830 | Ultrasound, transvaginal | $9.55M |
| 117 | 77067 | Screening mammography, bilateral, including computer-aided detection | $9.48M |
| 118 | 80053 | Comprehensive metabolic panel | $9.36M |
| 119 | H0005 | Alcohol and/or drug services; group counseling by a clinician | $8.97M |
| 120 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $8.47M |
| 121 | 98960 | $8.39M | |
| 122 | 96375 | Therapeutic injection; each additional sequential IV push | $8.25M |
| 123 | T4541 | Incontinence product, disposable underpad, large, each | $8.25M |
| 124 | 90792 | Psychiatric diagnostic evaluation with medical services | $8.19M |
| 125 | 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 | $8.04M |
| 126 | T2022 | Case management, per month | $8.01M |
| 127 | 72125 | Computed tomography, cervical spine; without contrast material | $7.92M |
| 128 | 96361 | Intravenous infusion, hydration; each additional hour | $7.88M |
| 129 | 99349 | $7.87M | |
| 130 | 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 | $7.82M |
| 131 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $7.54M |
| 132 | 97032 | $7.53M | |
| 133 | D0210 | Intraoral - complete series of radiographic images | $7.42M |
| 134 | 99244 | Office or other outpatient consultation, moderate to high complexity | $7.39M |
| 135 | D0272 | Bitewings - two radiographic images | $7.31M |
| 136 | 71046 | Radiologic examination, chest; 2 views | $7.28M |
| 137 | D7140 | Extraction, erupted tooth or exposed root | $7.20M |
| 138 | E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | $7.09M |
| 139 | S9482 | Family stabilization services, per 15 minutes | $7.06M |
| 140 | 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | $7.03M |
| 141 | S5100 | Day care services, adult; per 15 minutes | $6.99M |
| 142 | 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | $6.94M |
| 143 | T2047 | Habilitation, prevocational, waiver; per 15 minutes | $6.91M |
| 144 | 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 | $6.78M |
| 145 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $6.73M |
| 146 | 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | $6.46M |
| 147 | T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | $6.45M |
| 148 | T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | $6.43M |
| 149 | 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | $6.40M |
| 150 | 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 | $6.34M |
| 151 | 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | $6.27M |
| 152 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $6.25M |
| 153 | S5130 | Homemaker service, nos; per 15 minutes | $6.24M |
| 154 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $6.06M |
| 155 | 00170 | Anesthesia for intraoral procedures, including biopsy | $5.90M |
| 156 | 99310 | Prolong nursin fac eval 15m | $5.86M |
| 157 | 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | $5.76M |
| 158 | 92340 | Fitting of spectacles, except for aphakia; monofocal | $5.73M |
| 159 | 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | $5.69M |
| 160 | 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | $5.68M |
| 161 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $5.67M |
| 162 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $5.63M |
| 163 | 45380 | Colonoscopy, flexible; with biopsy, single or multiple | $5.58M |
| 164 | T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | $5.54M |
| 165 | 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | $5.53M |
| 166 | 93975 | $5.48M | |
| 167 | 64635 | $5.39M | |
| 168 | 64483 | $5.36M | |
| 169 | 90853 | Group psychotherapy (other than of a multiple-family group) | $5.26M |
| 170 | 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | $5.17M |
| 171 | 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | $5.16M |
| 172 | 99220 | $5.16M | |
| 173 | 92015 | Determination of refractive state | $5.12M |
| 174 | 76700 | Ultrasound, abdominal, real time with image documentation; complete | $5.12M |
| 175 | 90472 | Immunization administration, each additional vaccine (list separately) | $4.98M |
| 176 | V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $4.88M |
| 177 | D9310 | $4.87M | |
| 178 | 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 | $4.84M |
| 179 | 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | $4.80M |
| 180 | T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | $4.74M |
| 181 | 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | $4.71M |
| 182 | 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 | $4.65M |
| 183 | 95816 | $4.64M | |
| 184 | 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | $4.64M |
| 185 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $4.60M |
| 186 | 90832 | Psychotherapy, 30 minutes with patient | $4.59M |
| 187 | 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | $4.59M |
| 188 | 78815 | Positron emission tomography (PET) for limited area imaging | $4.57M |
| 189 | 99238 | Hospital discharge day management, 30 minutes or less | $4.56M |
| 190 | 90378 | $4.53M | |
| 191 | 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | $4.43M |
| 192 | 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | $4.42M |
| 193 | 99480 | Subsequent intensive care, per day, low birth weight infant | $4.42M |
| 194 | A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | $4.40M |
| 195 | D1110 | Prophylaxis - adult | $4.34M |
| 196 | 95810 | Polysomnography; sleep staging with 4 or more additional parameters | $4.28M |
| 197 | 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | $4.28M |
| 198 | J0585 | Injection, onabotulinumtoxina, 1 unit | $4.25M |
| 199 | G9001 | Coordinated care fee, initial rate | $4.23M |
| 200 | D7240 | Removal of impacted tooth - completely bony | $4.23M |