All 2,462 procedure codes billed by Medicaid providers in Oklahoma, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | T1041 | Medicaid certified community behavioral health clinic services, per month | $803.79M |
| 2 | H0004 | Behavioral health counseling and therapy, per 15 minutes | $714.92M |
| 3 | T1015 | Clinic visit/encounter, all-inclusive | $634.85M |
| 4 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $622.66M |
| 5 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $516.82M |
| 6 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $448.30M |
| 7 | G9012 | Other specified case management service not elsewhere classified | $426.00M |
| 8 | T1016 | Case management, each 15 minutes | $320.10M |
| 9 | 99284 | Emergency department visit for the evaluation and management, high severity | $286.77M |
| 10 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $280.48M |
| 11 | T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | $218.90M |
| 12 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $189.86M |
| 13 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $137.28M |
| 14 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $125.91M |
| 15 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $116.20M |
| 16 | A4353 | Intermittent urinary catheter, with insertion supplies | $98.73M |
| 17 | H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | $89.57M |
| 18 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $68.56M |
| 19 | D8080 | Comprehensive orthodontic treatment of the adolescent dentition | $66.66M |
| 20 | 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 | $66.05M |
| 21 | T2017 | Habilitation, residential, waiver; 15 minutes | $64.09M |
| 22 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $62.26M |
| 23 | S9484 | Crisis intervention mental health services, per hour | $61.31M |
| 24 | H0035 | Mental health partial hospitalization, treatment, less than 24 hours | $59.76M |
| 25 | A0425 | Ground mileage, per statute mile | $55.71M |
| 26 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $53.43M |
| 27 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $52.84M |
| 28 | 99232 | Subsequent hospital care, per day, moderate complexity | $50.25M |
| 29 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $49.78M |
| 30 | D2930 | Prefabricated stainless steel crown - primary tooth | $49.33M |
| 31 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $44.89M |
| 32 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $43.60M |
| 33 | 99233 | Prolong inpt eval add15 m | $40.48M |
| 34 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $40.03M |
| 35 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $38.56M |
| 36 | D1120 | Prophylaxis - child | $36.67M |
| 37 | 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) | $36.00M |
| 38 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $33.52M |
| 39 | D0120 | Periodic oral evaluation - established patient | $33.00M |
| 40 | D1110 | Prophylaxis - adult | $27.62M |
| 41 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $26.71M |
| 42 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $26.46M |
| 43 | 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | $26.31M |
| 44 | 00170 | Anesthesia for intraoral procedures, including biopsy | $25.57M |
| 45 | T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | $25.27M |
| 46 | T1017 | Targeted case management, each 15 minutes | $25.10M |
| 47 | D9999 | Unspecified adjunctive procedure, by report | $24.85M |
| 48 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $24.71M |
| 49 | 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | $24.52M |
| 50 | 99215 | Prolong outpt/office vis | $24.13M |
| 51 | D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | $23.92M |
| 52 | G9009 | Coordinated care fee, risk adjusted maintenance, level 3 | $23.17M |
| 53 | D7140 | Extraction, erupted tooth or exposed root | $22.03M |
| 54 | A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | $21.81M |
| 55 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $21.60M |
| 56 | 99223 | Prolong inpt eval add15 m | $21.22M |
| 57 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $21.12M |
| 58 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $21.11M |
| 59 | D0330 | Panoramic radiographic image | $20.95M |
| 60 | T4541 | Incontinence product, disposable underpad, large, each | $20.59M |
| 61 | S5116 | Home care training, non-family; per session | $20.29M |
| 62 | 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | $20.07M |
| 63 | 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | $19.30M |
| 64 | 92340 | Fitting of spectacles, except for aphakia; monofocal | $19.24M |
| 65 | T2033 | Residential care, not otherwise specified (nos), waiver; per diem | $18.14M |
| 66 | 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | $18.10M |
| 67 | D7240 | Removal of impacted tooth - completely bony | $18.08M |
| 68 | T1002 | Rn services, up to 15 minutes | $18.01M |
| 69 | T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | $17.88M |
| 70 | 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | $17.44M |
| 71 | D1206 | Topical application of fluoride varnish | $17.27M |
| 72 | 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | $17.00M |
| 73 | 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | $16.71M |
| 74 | 97803 | $16.62M | |
| 75 | 90837 | Psychotherapy, 53 minutes with patient | $16.21M |
| 76 | D0220 | Intraoral - periapical first radiographic image | $16.10M |
| 77 | D0274 | Bitewings - four radiographic images | $15.40M |
| 78 | 90460 | Immunization administration through 18 years of age via any route, first or only component | $15.17M |
| 79 | G9002 | Coordinated care fee, maintenance rate | $15.14M |
| 80 | T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | $14.55M |
| 81 | T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | $14.51M |
| 82 | A4352 | Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each | $14.42M |
| 83 | 92015 | Determination of refractive state | $13.76M |
| 84 | 99238 | Hospital discharge day management, 30 minutes or less | $13.70M |
| 85 | 90472 | Immunization administration, each additional vaccine (list separately) | $13.63M |
| 86 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $13.49M |
| 87 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $13.46M |
| 88 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $13.10M |
| 89 | 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | $12.81M |
| 90 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $12.68M |
| 91 | 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | $12.61M |
| 92 | G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | $12.54M |
| 93 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $12.54M |
| 94 | 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 | $12.41M |
| 95 | S0215 | Non-emergency transportation; mileage, per mile | $12.29M |
| 96 | H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | $12.15M |
| 97 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $12.06M |
| 98 | 99479 | Subsequent intensive care, per day, very low birth weight infant | $12.00M |
| 99 | 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 | $11.94M |
| 100 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $11.73M |
| 101 | D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | $11.71M |
| 102 | 99222 | Initial hospital care, per day, moderate complexity | $11.51M |
| 103 | D1208 | Topical application of fluoride, excluding varnish | $11.47M |
| 104 | 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | $11.43M |
| 105 | T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | $11.14M |
| 106 | H2015 | Comprehensive community support services, per 15 minutes | $11.07M |
| 107 | T2031 | Assisted living; waiver, per diem | $10.92M |
| 108 | B4149 | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | $10.91M |
| 109 | 71045 | Radiologic examination, chest; single view | $10.73M |
| 110 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $10.70M |
| 111 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $10.66M |
| 112 | 80053 | Comprehensive metabolic panel | $10.45M |
| 113 | D0150 | Comprehensive oral evaluation - new or established patient | $10.18M |
| 114 | D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | $10.17M |
| 115 | G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | $10.11M |
| 116 | 97533 | $9.77M | |
| 117 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $9.68M |
| 118 | D0140 | Limited oral evaluation - problem focused | $9.45M |
| 119 | A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $9.41M |
| 120 | 99308 | Subsequent nursing facility care, per day, straightforward | $9.21M |
| 121 | D0230 | Intraoral - periapical each additional radiographic image | $9.14M |
| 122 | 80050 | General health panel | $8.98M |
| 123 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $8.98M |
| 124 | 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $8.60M |
| 125 | 99480 | Subsequent intensive care, per day, low birth weight infant | $8.34M |
| 126 | E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | $8.34M |
| 127 | D0272 | Bitewings - two radiographic images | $8.33M |
| 128 | S0109 | Methadone, oral, 5 mg | $8.17M |
| 129 | 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | $7.82M |
| 130 | H0032 | Mental health service plan development by non-physician | $7.75M |
| 131 | D9248 | $7.63M | |
| 132 | D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | $7.60M |
| 133 | 99205 | Prolong outpt/office vis | $7.51M |
| 134 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $7.44M |
| 135 | 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | $7.41M |
| 136 | V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $7.40M |
| 137 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $7.35M |
| 138 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $7.35M |
| 139 | 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | $7.28M |
| 140 | E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | $7.22M |
| 141 | 70450 | Computed tomography, head or brain; without contrast material | $7.18M |
| 142 | E1399 | Durable medical equipment, miscellaneous | $7.14M |
| 143 | D8670 | Periodic orthodontic treatment visit | $7.13M |
| 144 | T1001 | Nursing assessment / evaluation | $7.06M |
| 145 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $6.92M |
| 146 | V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | $6.85M |
| 147 | D1351 | Sealant - per tooth | $6.80M |
| 148 | V2020 | Frames, purchases | $6.64M |
| 149 | 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 | $6.58M |
| 150 | 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | $6.56M |
| 151 | 96375 | Therapeutic injection; each additional sequential IV push | $6.44M |
| 152 | 99460 | $6.42M | |
| 153 | 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | $6.35M |
| 154 | 99239 | Hospital discharge day management, more than 30 minutes | $6.35M |
| 155 | 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | $6.31M |
| 156 | 76818 | $6.09M | |
| 157 | T4537 | Incontinence product, protective underpad, reusable, bed size, each | $5.93M |
| 158 | 84443 | Thyroid stimulating hormone (TSH) | $5.73M |
| 159 | 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | $5.72M |
| 160 | 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | $5.72M |
| 161 | H2014 | Skills training and development, per 15 minutes | $5.71M |
| 162 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $5.67M |
| 163 | 90791 | Psychiatric diagnostic evaluation | $5.55M |
| 164 | 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | $5.49M |
| 165 | 36415 | Collection of venous blood by venipuncture | $5.46M |
| 166 | T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | $5.37M |
| 167 | S9485 | Crisis intervention mental health services, per diem | $5.29M |
| 168 | A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | $5.29M |
| 169 | 99231 | Subsequent hospital care, per day, straightforward or low complexity | $5.28M |
| 170 | D9310 | $5.20M | |
| 171 | G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | $5.17M |
| 172 | A4335 | Incontinence supply; miscellaneous | $5.14M |
| 173 | R0070 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen | $5.13M |
| 174 | A0436 | Rotary wing air mileage, per statute mile | $4.94M |
| 175 | 80061 | Lipid panel | $4.93M |
| 176 | H0031 | Mental health assessment, by non-physician | $4.82M |
| 177 | 95819 | $4.71M | |
| 178 | 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | $4.66M |
| 179 | 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | $4.60M |
| 180 | S5170 | Home delivered meals, including preparation; per meal | $4.50M |
| 181 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $4.42M |
| 182 | G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | $4.24M |
| 183 | 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | $4.20M |
| 184 | D9222 | $4.19M | |
| 185 | 71046 | Radiologic examination, chest; 2 views | $4.15M |
| 186 | S5161 | Emergency response system; service fee, per month (excludes installation and testing) | $4.11M |
| 187 | U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | $3.99M |
| 188 | G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | $3.99M |
| 189 | 95144 | $3.96M | |
| 190 | 83498 | $3.91M | |
| 191 | J0490 | Injection, belimumab, 10 mg | $3.91M |
| 192 | 96131 | $3.87M | |
| 193 | E0784 | External ambulatory infusion pump, insulin | $3.85M |
| 194 | 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | $3.83M |
| 195 | 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 | $3.82M |
| 196 | 96133 | $3.82M | |
| 197 | T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | $3.81M |
| 198 | 88307 | $3.69M | |
| 199 | T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | $3.69M |
| 200 | E0570 | Nebulizer, with compressor | $3.68M |