All 3,939 procedure codes billed by Medicaid providers in Tennessee, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | T2033 | Residential care, not otherwise specified (nos), waiver; per diem | $3.04B |
| 2 | T2023 | Targeted case management; per month | $1.05B |
| 3 | S0280 | Medical home program, comprehensive care coordination and planning, initial plan | $853.17M |
| 4 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $760.69M |
| 5 | 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) | $760.14M |
| 6 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $745.00M |
| 7 | 99284 | Emergency department visit for the evaluation and management, high severity | $684.48M |
| 8 | S5125 | Attendant care services; per 15 minutes | $603.35M |
| 9 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $542.12M |
| 10 | T2016 | Habilitation, residential, waiver; per diem | $533.36M |
| 11 | H0043 | Supported housing, per diem | $372.06M |
| 12 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $361.33M |
| 13 | T2021 | Day habilitation, waiver; per 15 minutes | $352.92M |
| 14 | H0037 | Community psychiatric supportive treatment program, per diem | $310.73M |
| 15 | T2048 | Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem | $286.00M |
| 16 | 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 | $247.23M |
| 17 | H2020 | Therapeutic behavioral services, per diem | $214.07M |
| 18 | T2025 | Waiver services; not otherwise specified (nos) | $212.68M |
| 19 | T2020 | Day habilitation, waiver; per diem | $209.50M |
| 20 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $169.09M |
| 21 | T2012 | Habilitation, educational; waiver, per diem | $160.08M |
| 22 | 90834 | Psychotherapy, 45 minutes with patient | $149.20M |
| 23 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $144.32M |
| 24 | 90460 | Immunization administration through 18 years of age via any route, first or only component | $126.27M |
| 25 | 90837 | Psychotherapy, 53 minutes with patient | $123.43M |
| 26 | H2025 | Ongoing support to maintain employment, per 15 minutes | $122.73M |
| 27 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $121.09M |
| 28 | T2022 | Case management, per month | $119.95M |
| 29 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $107.71M |
| 30 | H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | $99.46M |
| 31 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $97.81M |
| 32 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $97.09M |
| 33 | A0425 | Ground mileage, per statute mile | $94.82M |
| 34 | T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | $92.09M |
| 35 | D1120 | Prophylaxis - child | $89.49M |
| 36 | H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | $87.18M |
| 37 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $84.28M |
| 38 | J2326 | Injection, nusinersen, 0.1 mg | $80.91M |
| 39 | D0120 | Periodic oral evaluation - established patient | $77.04M |
| 40 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $70.30M |
| 41 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $70.25M |
| 42 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $67.52M |
| 43 | 90832 | Psychotherapy, 30 minutes with patient | $66.25M |
| 44 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $66.01M |
| 45 | D2930 | Prefabricated stainless steel crown - primary tooth | $65.03M |
| 46 | 99232 | Subsequent hospital care, per day, moderate complexity | $62.15M |
| 47 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $61.17M |
| 48 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $61.01M |
| 49 | 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 | $59.39M |
| 50 | H0035 | Mental health partial hospitalization, treatment, less than 24 hours | $58.92M |
| 51 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $57.67M |
| 52 | 96110 | Developmental screening, with scoring and documentation, per standardized instrument | $55.21M |
| 53 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $52.52M |
| 54 | 99233 | Prolong inpt eval add15 m | $51.66M |
| 55 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $49.95M |
| 56 | 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 | $49.85M |
| 57 | D1110 | Prophylaxis - adult | $48.25M |
| 58 | D1206 | Topical application of fluoride varnish | $46.99M |
| 59 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $45.20M |
| 60 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $44.61M |
| 61 | 90791 | Psychiatric diagnostic evaluation | $44.33M |
| 62 | 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | $43.88M |
| 63 | H0044 | Supported housing, per month | $43.68M |
| 64 | 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 | $42.97M |
| 65 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $42.82M |
| 66 | H2019 | Therapeutic behavioral services, per 15 minutes | $40.75M |
| 67 | 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | $39.38M |
| 68 | 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 | $38.80M |
| 69 | 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 | $38.34M |
| 70 | T1003 | Lpn/lvn services, up to 15 minutes | $37.41M |
| 71 | A0110 | Non-emergency transportation and bus, intra or inter state carrier | $36.32M |
| 72 | S5136 | Companion care, adult (e.g., iadl/adl); per diem | $36.28M |
| 73 | 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 | $35.78M |
| 74 | 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | $35.52M |
| 75 | 99215 | Prolong outpt/office vis | $35.32M |
| 76 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $35.16M |
| 77 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $34.98M |
| 78 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $34.60M |
| 79 | E0760 | Osteogenesis stimulator, low intensity ultrasound, non-invasive | $34.29M |
| 80 | J1726 | Injection, hydroxyprogesterone caproate, (makena), 10 mg | $33.87M |
| 81 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $33.86M |
| 82 | D8670 | Periodic orthodontic treatment visit | $33.38M |
| 83 | 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | $33.20M |
| 84 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $32.99M |
| 85 | H0014 | Alcohol and/or drug services; ambulatory detoxification | $32.84M |
| 86 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $32.63M |
| 87 | 76819 | Fetal biophysical profile; without non-stress testing | $32.54M |
| 88 | H2033 | Multisystemic therapy for juveniles, per 15 minutes | $32.41M |
| 89 | G9002 | Coordinated care fee, maintenance rate | $31.61M |
| 90 | D1208 | Topical application of fluoride, excluding varnish | $31.54M |
| 91 | H0033 | Oral medication administration, direct observation | $31.30M |
| 92 | T1015 | Clinic visit/encounter, all-inclusive | $31.24M |
| 93 | T2030 | Assisted living, waiver; per month | $30.96M |
| 94 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $30.75M |
| 95 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $30.60M |
| 96 | S5145 | Foster care, therapeutic, child; per diem | $30.56M |
| 97 | D7140 | Extraction, erupted tooth or exposed root | $30.55M |
| 98 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $30.34M |
| 99 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $29.52M |
| 100 | 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | $28.76M |
| 101 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $27.81M |
| 102 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $27.74M |
| 103 | S5150 | Unskilled respite care, not hospice; per 15 minutes | $27.72M |
| 104 | 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | $27.60M |
| 105 | 92015 | Determination of refractive state | $27.44M |
| 106 | 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | $27.40M |
| 107 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $27.36M |
| 108 | H2018 | Psychosocial rehabilitation services, per diem | $26.11M |
| 109 | T2019 | Habilitation, supported employment, waiver; per 15 minutes | $25.77M |
| 110 | G0378 | Hospital observation service, per hour | $25.75M |
| 111 | 99223 | Prolong inpt eval add15 m | $25.59M |
| 112 | 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | $24.48M |
| 113 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $24.31M |
| 114 | E0603 | Breast pump, electric (ac and/or dc), any type | $24.29M |
| 115 | 87428 | $24.01M | |
| 116 | 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | $23.85M |
| 117 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $23.83M |
| 118 | 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | $23.83M |
| 119 | 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | $23.06M |
| 120 | D0330 | Panoramic radiographic image | $22.34M |
| 121 | 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | $22.25M |
| 122 | J2357 | Injection, omalizumab, 5 mg | $22.13M |
| 123 | D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | $22.00M |
| 124 | D0150 | Comprehensive oral evaluation - new or established patient | $21.80M |
| 125 | 41899 | Unlisted procedure, dentoalveolar structures | $21.58M |
| 126 | H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | $21.16M |
| 127 | S9122 | Home health aide or certified nurse assistant, providing care in the home; per hour | $20.94M |
| 128 | D0272 | Bitewings - two radiographic images | $20.75M |
| 129 | 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | $20.69M |
| 130 | H2022 | Community-based wrap-around services, per diem | $20.53M |
| 131 | Q9992 | Injection, buprenorphine extended-release (sublocade), greater than 100 mg | $20.47M |
| 132 | Q5003 | Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) | $20.17M |
| 133 | 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | $20.12M |
| 134 | D7240 | Removal of impacted tooth - completely bony | $19.77M |
| 135 | D1351 | Sealant - per tooth | $19.75M |
| 136 | H2016 | Comprehensive community support services, per diem | $19.36M |
| 137 | 90847 | Family psychotherapy with the patient present, 50 minutes | $19.34M |
| 138 | 70450 | Computed tomography, head or brain; without contrast material | $19.18M |
| 139 | 99479 | Subsequent intensive care, per day, very low birth weight infant | $18.94M |
| 140 | D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | $18.92M |
| 141 | A9276 | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply | $18.73M |
| 142 | 92340 | Fitting of spectacles, except for aphakia; monofocal | $18.63M |
| 143 | 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $18.58M |
| 144 | 90792 | Psychiatric diagnostic evaluation with medical services | $17.21M |
| 145 | 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 | $16.82M |
| 146 | 71045 | Radiologic examination, chest; single view | $16.56M |
| 147 | D0274 | Bitewings - four radiographic images | $16.34M |
| 148 | A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $16.32M |
| 149 | H2011 | Crisis intervention service, per 15 minutes | $16.28M |
| 150 | 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | $16.20M |
| 151 | E1399 | Durable medical equipment, miscellaneous | $16.05M |
| 152 | 76820 | $16.00M | |
| 153 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $15.94M |
| 154 | 99308 | Subsequent nursing facility care, per day, straightforward | $15.79M |
| 155 | Q9991 | Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg | $15.71M |
| 156 | 80053 | Comprehensive metabolic panel | $15.67M |
| 157 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $15.57M |
| 158 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $15.52M |
| 159 | 99343 | $14.41M | |
| 160 | 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | $14.35M |
| 161 | H2015 | Comprehensive community support services, per 15 minutes | $14.35M |
| 162 | 99480 | Subsequent intensive care, per day, low birth weight infant | $14.33M |
| 163 | 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | $14.16M |
| 164 | E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | $14.10M |
| 165 | 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | $14.04M |
| 166 | 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 | $13.56M |
| 167 | 99349 | $13.55M | |
| 168 | 00170 | Anesthesia for intraoral procedures, including biopsy | $13.49M |
| 169 | 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | $13.41M |
| 170 | 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | $13.26M |
| 171 | J0585 | Injection, onabotulinumtoxina, 1 unit | $12.76M |
| 172 | H2010 | Comprehensive medication services, per 15 minutes | $12.39M |
| 173 | D0220 | Intraoral - periapical first radiographic image | $12.25M |
| 174 | G9012 | Other specified case management service not elsewhere classified | $12.18M |
| 175 | V2020 | Frames, purchases | $11.98M |
| 176 | T2046 | Hospice long term care, room and board only; per diem | $11.91M |
| 177 | 99238 | Hospital discharge day management, 30 minutes or less | $11.82M |
| 178 | 71046 | Radiologic examination, chest; 2 views | $11.80M |
| 179 | E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | $11.68M |
| 180 | 95117 | $11.59M | |
| 181 | D3330 | Endodontic therapy, molar tooth (excluding final restoration) | $11.59M |
| 182 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $11.36M |
| 183 | H2012 | Behavioral health day treatment, per hour | $11.29M |
| 184 | 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | $11.19M |
| 185 | 36415 | Collection of venous blood by venipuncture | $10.93M |
| 186 | V2784 | Lens, polycarbonate or equal, any index, per lens | $10.92M |
| 187 | 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | $10.91M |
| 188 | G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | $10.86M |
| 189 | D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | $10.79M |
| 190 | 74176 | Computed tomography, abdomen and pelvis; without contrast material | $10.76M |
| 191 | 96160 | $10.76M | |
| 192 | D9248 | $10.59M | |
| 193 | A0130 | Non-emergency transportation: wheelchair van | $10.54M |
| 194 | 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | $10.43M |
| 195 | D0210 | Intraoral - complete series of radiographic images | $10.08M |
| 196 | H0032 | Mental health service plan development by non-physician | $9.99M |
| 197 | 45380 | Colonoscopy, flexible; with biopsy, single or multiple | $9.96M |
| 198 | 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | $9.68M |
| 199 | 99239 | Hospital discharge day management, more than 30 minutes | $9.67M |
| 200 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $9.64M |