Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

Billing Codes in Oklahoma

All 2,462 procedure codes billed by Medicaid providers in Oklahoma, ranked by total spending.

#CodeDescriptionTotal 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