All 5,634 procedure codes billed by Medicaid providers in New York, 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) | $74.59B |
| 2 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $6.09B |
| 3 | 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) | $4.63B |
| 4 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $3.03B |
| 5 | S5126 | Attendant care services; per diem | $2.39B |
| 6 | G9005 | Coordinated care fee, risk adjusted maintenance | $2.06B |
| 7 | 90834 | Psychotherapy, 45 minutes with patient | $1.96B |
| 8 | 90832 | Psychotherapy, 30 minutes with patient | $1.62B |
| 9 | S5105 | Day care services, center-based; services not included in program fee, per diem | $1.45B |
| 10 | 99284 | Emergency department visit for the evaluation and management, high severity | $1.05B |
| 11 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $1.02B |
| 12 | T2022 | Case management, per month | $962.31M |
| 13 | S5150 | Unskilled respite care, not hospice; per 15 minutes | $939.78M |
| 14 | H2015 | Comprehensive community support services, per 15 minutes | $911.70M |
| 15 | S5102 | Day care services, adult; per diem | $877.00M |
| 16 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $834.21M |
| 17 | H2014 | Skills training and development, per 15 minutes | $731.75M |
| 18 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $664.08M |
| 19 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $661.20M |
| 20 | T1040 | Medicaid certified community behavioral health clinic services, per diem | $644.16M |
| 21 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $639.15M |
| 22 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $626.89M |
| 23 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $595.38M |
| 24 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $585.50M |
| 25 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $543.14M |
| 26 | H0040 | Assertive community treatment program, per diem | $481.26M |
| 27 | H2036 | Alcohol and/or other drug treatment program, per diem | $478.91M |
| 28 | 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 | $474.14M |
| 29 | 90791 | Psychiatric diagnostic evaluation | $439.12M |
| 30 | 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) | $415.31M |
| 31 | S9124 | Nursing care, in the home; by licensed practical nurse, per hour | $406.84M |
| 32 | H2016 | Comprehensive community support services, per diem | $393.74M |
| 33 | 90837 | Psychotherapy, 53 minutes with patient | $386.51M |
| 34 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $375.47M |
| 35 | H2021 | Community-based wrap-around services, per 15 minutes | $362.57M |
| 36 | S5125 | Attendant care services; per 15 minutes | $346.06M |
| 37 | S9083 | Global fee urgent care centers | $339.04M |
| 38 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $334.03M |
| 39 | A0100 | Non-emergency transportation; taxi | $327.80M |
| 40 | D0120 | Periodic oral evaluation - established patient | $317.83M |
| 41 | D1110 | Prophylaxis - adult | $309.93M |
| 42 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $306.07M |
| 43 | A0130 | Non-emergency transportation: wheelchair van | $299.72M |
| 44 | H2019 | Therapeutic behavioral services, per 15 minutes | $271.30M |
| 45 | S5145 | Foster care, therapeutic, child; per diem | $262.96M |
| 46 | 99215 | Prolong outpt/office vis | $247.12M |
| 47 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $246.44M |
| 48 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $242.20M |
| 49 | S5130 | Homemaker service, nos; per 15 minutes | $236.02M |
| 50 | 96361 | Intravenous infusion, hydration; each additional hour | $234.78M |
| 51 | 90853 | Group psychotherapy (other than of a multiple-family group) | $228.24M |
| 52 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $225.52M |
| 53 | H2018 | Psychosocial rehabilitation services, per diem | $223.47M |
| 54 | D8670 | Periodic orthodontic treatment visit | $218.53M |
| 55 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $217.80M |
| 56 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $217.28M |
| 57 | D1120 | Prophylaxis - child | $215.35M |
| 58 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $201.26M |
| 59 | T2025 | Waiver services; not otherwise specified (nos) | $197.72M |
| 60 | 90460 | Immunization administration through 18 years of age via any route, first or only component | $191.57M |
| 61 | T2003 | Non-emergency transportation; encounter/trip | $191.55M |
| 62 | G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | $191.20M |
| 63 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $187.69M |
| 64 | J9271 | Injection, pembrolizumab, 1 mg | $187.13M |
| 65 | H0005 | Alcohol and/or drug services; group counseling by a clinician | $186.08M |
| 66 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $185.82M |
| 67 | 36415 | Collection of venous blood by venipuncture | $182.48M |
| 68 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $181.24M |
| 69 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $177.09M |
| 70 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $175.81M |
| 71 | H0004 | Behavioral health counseling and therapy, per 15 minutes | $175.71M |
| 72 | 70450 | Computed tomography, head or brain; without contrast material | $175.66M |
| 73 | T1003 | Lpn/lvn services, up to 15 minutes | $173.30M |
| 74 | S0215 | Non-emergency transportation; mileage, per mile | $173.09M |
| 75 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $170.39M |
| 76 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $168.51M |
| 77 | 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) | $166.98M |
| 78 | 80053 | Comprehensive metabolic panel | $164.71M |
| 79 | 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | $162.25M |
| 80 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $161.52M |
| 81 | 77067 | Screening mammography, bilateral, including computer-aided detection | $160.01M |
| 82 | A4554 | Disposable underpads, all sizes | $157.82M |
| 83 | G0378 | Hospital observation service, per hour | $155.66M |
| 84 | T1030 | Nursing care, in the home, by registered nurse, per diem | $150.75M |
| 85 | T1016 | Case management, each 15 minutes | $150.57M |
| 86 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $147.65M |
| 87 | H0044 | Supported housing, per month | $146.35M |
| 88 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $143.53M |
| 89 | T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | $142.63M |
| 90 | S5161 | Emergency response system; service fee, per month (excludes installation and testing) | $140.12M |
| 91 | 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | $139.65M |
| 92 | 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | $137.94M |
| 93 | 90847 | Family psychotherapy with the patient present, 50 minutes | $137.30M |
| 94 | U0005 | 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | $136.34M |
| 95 | T1017 | Targeted case management, each 15 minutes | $134.27M |
| 96 | D0999 | Unspecified diagnostic procedure, by report | $129.11M |
| 97 | 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | $128.41M |
| 98 | 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | $128.08M |
| 99 | 45380 | Colonoscopy, flexible; with biopsy, single or multiple | $127.56M |
| 100 | 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | $127.14M |
| 101 | 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 | $127.06M |
| 102 | 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | $126.74M |
| 103 | H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | $126.42M |
| 104 | T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | $124.32M |
| 105 | H2012 | Behavioral health day treatment, per hour | $122.45M |
| 106 | 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | $118.67M |
| 107 | G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | $118.37M |
| 108 | A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | $117.90M |
| 109 | 76830 | Ultrasound, transvaginal | $116.95M |
| 110 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $112.52M |
| 111 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $112.17M |
| 112 | 99232 | Subsequent hospital care, per day, moderate complexity | $109.25M |
| 113 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $107.27M |
| 114 | 90935 | Hemodialysis procedure with single evaluation by a physician | $107.06M |
| 115 | D0274 | Bitewings - four radiographic images | $104.16M |
| 116 | 76700 | Ultrasound, abdominal, real time with image documentation; complete | $100.39M |
| 117 | S5170 | Home delivered meals, including preparation; per meal | $99.91M |
| 118 | H0041 | Foster care, child, non-therapeutic, per diem | $97.54M |
| 119 | S9131 | Physical therapy; in the home, per diem | $95.14M |
| 120 | 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | $93.33M |
| 121 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $92.58M |
| 122 | A0425 | Ground mileage, per statute mile | $92.39M |
| 123 | 99442 | $92.00M | |
| 124 | G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | $91.67M |
| 125 | T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | $87.55M |
| 126 | 90846 | Family psychotherapy without the patient present, 50 minutes | $87.43M |
| 127 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $87.27M |
| 128 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $86.04M |
| 129 | A4657 | Syringe, with or without needle, each | $85.74M |
| 130 | 31231 | $84.73M | |
| 131 | 92557 | $84.64M | |
| 132 | T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | $83.03M |
| 133 | D0220 | Intraoral - periapical first radiographic image | $81.02M |
| 134 | T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | $80.36M |
| 135 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $79.75M |
| 136 | 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | $79.24M |
| 137 | 90792 | Psychiatric diagnostic evaluation with medical services | $79.07M |
| 138 | D1351 | Sealant - per tooth | $78.00M |
| 139 | T1022 | Contracted home health agency services, all services provided under contract, per day | $77.17M |
| 140 | 76641 | $75.67M | |
| 141 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $75.46M |
| 142 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $74.57M |
| 143 | J1745 | Injection, infliximab, excludes biosimilar, 10 mg | $73.70M |
| 144 | 90937 | $73.53M | |
| 145 | 92250 | $72.65M | |
| 146 | H2027 | Psychoeducational service, per 15 minutes | $72.49M |
| 147 | 99281 | Emergency department visit for the evaluation and management, self-limited or minor | $71.98M |
| 148 | D0150 | Comprehensive oral evaluation - new or established patient | $71.34M |
| 149 | D2930 | Prefabricated stainless steel crown - primary tooth | $70.80M |
| 150 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $70.22M |
| 151 | 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | $68.75M |
| 152 | 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | $67.70M |
| 153 | 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | $67.69M |
| 154 | D7140 | Extraction, erupted tooth or exposed root | $67.61M |
| 155 | 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | $66.22M |
| 156 | 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | $66.11M |
| 157 | 99233 | Prolong inpt eval add15 m | $66.05M |
| 158 | 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | $65.61M |
| 159 | J2350 | Injection, ocrelizumab, 1 mg | $65.26M |
| 160 | T1015 | Clinic visit/encounter, all-inclusive | $64.70M |
| 161 | D1208 | Topical application of fluoride, excluding varnish | $64.21M |
| 162 | S9122 | Home health aide or certified nurse assistant, providing care in the home; per hour | $64.02M |
| 163 | V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $63.93M |
| 164 | D9999 | Unspecified adjunctive procedure, by report | $63.45M |
| 165 | 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | $62.86M |
| 166 | 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | $61.87M |
| 167 | D0330 | Panoramic radiographic image | $61.81M |
| 168 | V2020 | Frames, purchases | $61.24M |
| 169 | D1206 | Topical application of fluoride varnish | $60.85M |
| 170 | T1001 | Nursing assessment / evaluation | $60.15M |
| 171 | 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | $60.14M |
| 172 | 93975 | $59.70M | |
| 173 | S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | $59.46M |
| 174 | T2015 | Habilitation, prevocational, waiver; per hour | $58.47M |
| 175 | 93970 | $58.07M | |
| 176 | 96150 | $56.74M | |
| 177 | 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | $55.89M |
| 178 | T2024 | Service assessment/plan of care development, waiver | $55.66M |
| 179 | 74176 | Computed tomography, abdomen and pelvis; without contrast material | $55.45M |
| 180 | 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | $54.58M |
| 181 | J7170 | Injection, emicizumab-kxwh, 0.5 mg | $53.71M |
| 182 | 17110 | $53.21M | |
| 183 | 21299 | $52.78M | |
| 184 | 80048 | Basic metabolic panel (calcium, ionized) | $52.76M |
| 185 | D0230 | Intraoral - periapical each additional radiographic image | $52.38M |
| 186 | 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 | $50.39M |
| 187 | 99051 | $50.29M | |
| 188 | A0110 | Non-emergency transportation and bus, intra or inter state carrier | $49.45M |
| 189 | H0038 | Self-help/peer services, per 15 minutes | $49.29M |
| 190 | L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | $48.69M |
| 191 | 10040 | $48.09M | |
| 192 | 96112 | $47.78M | |
| 193 | 92083 | $47.62M | |
| 194 | 99401 | $47.14M | |
| 195 | 70551 | Magnetic resonance imaging, brain; without contrast material | $47.03M |
| 196 | 77063 | Screening digital breast tomosynthesis, bilateral | $46.83M |
| 197 | 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | $46.58M |
| 198 | T2040 | Financial management, self-directed, waiver; per 15 minutes | $46.24M |
| 199 | 80061 | Lipid panel | $46.23M |
| 200 | A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | $45.47M |