All 2,831 procedure codes billed by Medicaid providers in Oregon, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | 90837 | Psychotherapy, 53 minutes with patient | $500.73M |
| 2 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $469.57M |
| 3 | 99284 | Emergency department visit for the evaluation and management, high severity | $405.25M |
| 4 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $376.33M |
| 5 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $312.79M |
| 6 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $299.80M |
| 7 | 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) | $282.90M |
| 8 | 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 | $276.31M |
| 9 | H0004 | Behavioral health counseling and therapy, per 15 minutes | $180.46M |
| 10 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $176.76M |
| 11 | H0005 | Alcohol and/or drug services; group counseling by a clinician | $144.23M |
| 12 | H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | $117.22M |
| 13 | A0100 | Non-emergency transportation; taxi | $85.79M |
| 14 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $77.70M |
| 15 | H0017 | Behavioral health; residential (hospital residential treatment program), without room and board, per diem | $72.93M |
| 16 | H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | $72.14M |
| 17 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $71.80M |
| 18 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $67.37M |
| 19 | T1017 | Targeted case management, each 15 minutes | $62.28M |
| 20 | 90834 | Psychotherapy, 45 minutes with patient | $61.36M |
| 21 | H0038 | Self-help/peer services, per 15 minutes | $60.92M |
| 22 | H2013 | Psychiatric health facility service, per diem | $53.47M |
| 23 | S9484 | Crisis intervention mental health services, per hour | $49.89M |
| 24 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $49.63M |
| 25 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $45.01M |
| 26 | J7170 | Injection, emicizumab-kxwh, 0.5 mg | $44.35M |
| 27 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $41.26M |
| 28 | 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) | $40.07M |
| 29 | 99215 | Prolong outpt/office vis | $39.74M |
| 30 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $39.50M |
| 31 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $38.67M |
| 32 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $37.66M |
| 33 | H2014 | Skills training and development, per 15 minutes | $37.16M |
| 34 | T1002 | Rn services, up to 15 minutes | $36.62M |
| 35 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $36.43M |
| 36 | A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $34.75M |
| 37 | H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | $33.23M |
| 38 | A0130 | Non-emergency transportation: wheelchair van | $32.58M |
| 39 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $30.46M |
| 40 | H0037 | Community psychiatric supportive treatment program, per diem | $29.56M |
| 41 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $29.13M |
| 42 | H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | $28.34M |
| 43 | 97124 | $28.00M | |
| 44 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $27.49M |
| 45 | S0109 | Methadone, oral, 5 mg | $27.07M |
| 46 | D1120 | Prophylaxis - child | $26.62M |
| 47 | 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | $26.22M |
| 48 | T1016 | Case management, each 15 minutes | $26.03M |
| 49 | H2018 | Psychosocial rehabilitation services, per diem | $25.78M |
| 50 | 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | $25.63M |
| 51 | 90832 | Psychotherapy, 30 minutes with patient | $25.50M |
| 52 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $25.46M |
| 53 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $25.34M |
| 54 | D0120 | Periodic oral evaluation - established patient | $24.88M |
| 55 | S5125 | Attendant care services; per 15 minutes | $24.77M |
| 56 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $23.83M |
| 57 | E0601 | Continuous positive airway pressure (cpap) device | $23.60M |
| 58 | 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 | $23.09M |
| 59 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $22.93M |
| 60 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $22.89M |
| 61 | 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 | $22.82M |
| 62 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $21.52M |
| 63 | J0178 | Injection, aflibercept, 1 mg | $21.29M |
| 64 | D2930 | Prefabricated stainless steel crown - primary tooth | $21.28M |
| 65 | D0140 | Limited oral evaluation - problem focused | $21.03M |
| 66 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $20.28M |
| 67 | 80053 | Comprehensive metabolic panel | $19.94M |
| 68 | 90847 | Family psychotherapy with the patient present, 50 minutes | $19.88M |
| 69 | S9480 | Intensive outpatient psychiatric services, per diem | $19.75M |
| 70 | H0046 | Mental health services, not otherwise specified | $19.65M |
| 71 | 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 | $19.50M |
| 72 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $18.54M |
| 73 | T1015 | Clinic visit/encounter, all-inclusive | $18.04M |
| 74 | A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | $18.02M |
| 75 | A0434 | Specialty care transport (sct) | $17.87M |
| 76 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $17.79M |
| 77 | 99233 | Prolong inpt eval add15 m | $17.04M |
| 78 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $16.99M |
| 79 | A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | $16.50M |
| 80 | A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | $16.45M |
| 81 | D1206 | Topical application of fluoride varnish | $16.32M |
| 82 | T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | $16.30M |
| 83 | D7140 | Extraction, erupted tooth or exposed root | $16.25M |
| 84 | 90853 | Group psychotherapy (other than of a multiple-family group) | $15.90M |
| 85 | D1110 | Prophylaxis - adult | $15.40M |
| 86 | 90791 | Psychiatric diagnostic evaluation | $15.39M |
| 87 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $15.11M |
| 88 | A0436 | Rotary wing air mileage, per statute mile | $14.83M |
| 89 | A7030 | Full face mask used with positive airway pressure device, each | $14.65M |
| 90 | D0150 | Comprehensive oral evaluation - new or established patient | $14.52M |
| 91 | T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | $14.38M |
| 92 | 92340 | Fitting of spectacles, except for aphakia; monofocal | $14.38M |
| 93 | 99232 | Subsequent hospital care, per day, moderate complexity | $14.23M |
| 94 | 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 | $14.19M |
| 95 | A0425 | Ground mileage, per statute mile | $14.08M |
| 96 | T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | $13.90M |
| 97 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $13.66M |
| 98 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $13.63M |
| 99 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $13.40M |
| 100 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $13.39M |
| 101 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $13.08M |
| 102 | T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | $12.60M |
| 103 | 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | $12.38M |
| 104 | H2036 | Alcohol and/or other drug treatment program, per diem | $12.28M |
| 105 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $12.25M |
| 106 | 45380 | Colonoscopy, flexible; with biopsy, single or multiple | $12.15M |
| 107 | 77067 | Screening mammography, bilateral, including computer-aided detection | $12.00M |
| 108 | T1018 | School-based individualized education program (iep) services, bundled | $11.68M |
| 109 | S4993 | Contraceptive pills for birth control | $11.62M |
| 110 | H0033 | Oral medication administration, direct observation | $11.47M |
| 111 | LF001 | $11.33M | |
| 112 | H0045 | Respite care services, not in the home, per diem | $11.16M |
| 113 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $11.00M |
| 114 | E0603 | Breast pump, electric (ac and/or dc), any type | $10.85M |
| 115 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $10.78M |
| 116 | 71046 | Radiologic examination, chest; 2 views | $10.56M |
| 117 | A4927 | Gloves, non-sterile, per 100 | $10.40M |
| 118 | A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | $10.36M |
| 119 | 84443 | Thyroid stimulating hormone (TSH) | $10.24M |
| 120 | G9006 | Coordinated care fee, home monitoring | $10.04M |
| 121 | A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | $9.90M |
| 122 | H0032 | Mental health service plan development by non-physician | $9.83M |
| 123 | 71045 | Radiologic examination, chest; single view | $9.78M |
| 124 | A7031 | Face mask interface, replacement for full face mask, each | $9.48M |
| 125 | 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | $9.37M |
| 126 | A4604 | Tubing with integrated heating element for use with positive airway pressure device | $8.99M |
| 127 | A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | $8.92M |
| 128 | 70450 | Computed tomography, head or brain; without contrast material | $8.87M |
| 129 | J0585 | Injection, onabotulinumtoxina, 1 unit | $8.77M |
| 130 | 80061 | Lipid panel | $8.69M |
| 131 | 99205 | Prolong outpt/office vis | $8.53M |
| 132 | D0220 | Intraoral - periapical first radiographic image | $8.50M |
| 133 | 41899 | Unlisted procedure, dentoalveolar structures | $8.34M |
| 134 | 36415 | Collection of venous blood by venipuncture | $8.31M |
| 135 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $7.99M |
| 136 | 97810 | $7.95M | |
| 137 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $7.91M |
| 138 | 90686 | $7.90M | |
| 139 | V2020 | Frames, purchases | $7.88M |
| 140 | 96375 | Therapeutic injection; each additional sequential IV push | $7.86M |
| 141 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $7.78M |
| 142 | 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 | $7.76M |
| 143 | A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | $7.60M |
| 144 | E2402 | Negative pressure wound therapy electrical pump, stationary or portable | $7.48M |
| 145 | E0562 | Humidifier, heated, used with positive airway pressure device | $7.39M |
| 146 | S5161 | Emergency response system; service fee, per month (excludes installation and testing) | $7.35M |
| 147 | T1040 | Medicaid certified community behavioral health clinic services, per diem | $7.30M |
| 148 | T2046 | Hospice long term care, room and board only; per diem | $7.21M |
| 149 | D0230 | Intraoral - periapical each additional radiographic image | $7.04M |
| 150 | 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | $7.00M |
| 151 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $6.96M |
| 152 | 99223 | Prolong inpt eval add15 m | $6.89M |
| 153 | 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | $6.87M |
| 154 | H0001 | Alcohol and/or drug assessment | $6.86M |
| 155 | A7032 | Cushion for use on nasal mask interface, replacement only, each | $6.85M |
| 156 | 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | $6.85M |
| 157 | H2022 | Community-based wrap-around services, per diem | $6.84M |
| 158 | 80050 | General health panel | $6.84M |
| 159 | 83036 | Hemoglobin; glycosylated (A1C) | $6.82M |
| 160 | E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | $6.82M |
| 161 | T4541 | Incontinence product, disposable underpad, large, each | $6.71M |
| 162 | H0035 | Mental health partial hospitalization, treatment, less than 24 hours | $6.70M |
| 163 | Q9992 | Injection, buprenorphine extended-release (sublocade), greater than 100 mg | $6.67M |
| 164 | 67028 | Intravitreal injection of a pharmacologic agent | $6.66M |
| 165 | D1351 | Sealant - per tooth | $6.62M |
| 166 | A0435 | Fixed wing air mileage, per statute mile | $6.57M |
| 167 | 97811 | $6.57M | |
| 168 | E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | $6.42M |
| 169 | E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | $6.41M |
| 170 | D0274 | Bitewings - four radiographic images | $6.39M |
| 171 | H0031 | Mental health assessment, by non-physician | $6.33M |
| 172 | 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | $6.27M |
| 173 | 90792 | Psychiatric diagnostic evaluation with medical services | $6.27M |
| 174 | H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | $6.17M |
| 175 | 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | $6.00M |
| 176 | 92015 | Determination of refractive state | $5.99M |
| 177 | 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 | $5.95M |
| 178 | A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | $5.95M |
| 179 | 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | $5.79M |
| 180 | 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 | $5.75M |
| 181 | 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | $5.74M |
| 182 | T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | $5.66M |
| 183 | 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | $5.62M |
| 184 | T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | $5.62M |
| 185 | 96361 | Intravenous infusion, hydration; each additional hour | $5.58M |
| 186 | D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | $5.56M |
| 187 | 95810 | Polysomnography; sleep staging with 4 or more additional parameters | $5.40M |
| 188 | T2034 | Crisis intervention, waiver; per diem | $5.33M |
| 189 | SRX01 | $5.16M | |
| 190 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $5.16M |
| 191 | 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | $5.09M |
| 192 | 99601 | $5.09M | |
| 193 | J7192 | Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified | $5.04M |
| 194 | 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 | $4.93M |
| 195 | D1208 | Topical application of fluoride, excluding varnish | $4.86M |
| 196 | H0006 | Alcohol and/or drug services; case management | $4.86M |
| 197 | E0784 | External ambulatory infusion pump, insulin | $4.82M |
| 198 | 95811 | $4.75M | |
| 199 | H0012 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) | $4.73M |
| 200 | 99499 | $4.69M |