All 2,575 procedure codes billed by Medicaid providers in Utah, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | 8888888 | Internal/system code - not a standard HCPCS code | $542.57M |
| 2 | 90837 | Psychotherapy, 53 minutes with patient | $261.99M |
| 3 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $252.75M |
| 4 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $199.78M |
| 5 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $192.81M |
| 6 | H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | $173.72M |
| 7 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $169.40M |
| 8 | A0380 | Bls mileage (per mile) | $112.95M |
| 9 | 90853 | Group psychotherapy (other than of a multiple-family group) | $79.22M |
| 10 | T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | $77.52M |
| 11 | T1018 | School-based individualized education program (iep) services, bundled | $74.01M |
| 12 | 81162 | $71.94M | |
| 13 | T1021 | Home health aide or certified nurse assistant, per visit | $71.66M |
| 14 | D0120 | Periodic oral evaluation - established patient | $70.25M |
| 15 | T2031 | Assisted living; waiver, per diem | $67.76M |
| 16 | H2017 | Psychosocial rehabilitation services, per 15 minutes | $67.09M |
| 17 | T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | $65.53M |
| 18 | T1017 | Targeted case management, each 15 minutes | $65.29M |
| 19 | H2016 | Comprehensive community support services, per diem | $59.56M |
| 20 | H2019 | Therapeutic behavioral services, per 15 minutes | $59.21M |
| 21 | H0046 | Mental health services, not otherwise specified | $51.55M |
| 22 | 90791 | Psychiatric diagnostic evaluation | $50.50M |
| 23 | 90834 | Psychotherapy, 45 minutes with patient | $48.77M |
| 24 | H2014 | Skills training and development, per 15 minutes | $48.24M |
| 25 | 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | $47.87M |
| 26 | 99284 | Emergency department visit for the evaluation and management, high severity | $45.99M |
| 27 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $45.39M |
| 28 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $43.90M |
| 29 | T1001 | Nursing assessment / evaluation | $39.22M |
| 30 | A0425 | Ground mileage, per statute mile | $38.97M |
| 31 | H2013 | Psychiatric health facility service, per diem | $38.47M |
| 32 | T2046 | Hospice long term care, room and board only; per diem | $37.10M |
| 33 | 36415 | Collection of venous blood by venipuncture | $34.27M |
| 34 | 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) | $31.62M |
| 35 | H2027 | Psychoeducational service, per 15 minutes | $29.60M |
| 36 | T1016 | Case management, each 15 minutes | $28.91M |
| 37 | H2036 | Alcohol and/or other drug treatment program, per diem | $28.57M |
| 38 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $27.30M |
| 39 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $27.22M |
| 40 | 41899 | Unlisted procedure, dentoalveolar structures | $27.07M |
| 41 | A0100 | Non-emergency transportation; taxi | $25.89M |
| 42 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $25.29M |
| 43 | T2005 | Non-emergency transportation; stretcher van | $25.01M |
| 44 | T1015 | Clinic visit/encounter, all-inclusive | $24.45M |
| 45 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $24.39M |
| 46 | S5165 | Home modifications; per service | $23.39M |
| 47 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $22.58M |
| 48 | 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 | $21.48M |
| 49 | T2023 | Targeted case management; per month | $20.94M |
| 50 | A0080 | Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest | $20.36M |
| 51 | S9122 | Home health aide or certified nurse assistant, providing care in the home; per hour | $19.18M |
| 52 | 90847 | Family psychotherapy with the patient present, 50 minutes | $18.89M |
| 53 | 90832 | Psychotherapy, 30 minutes with patient | $18.83M |
| 54 | 99215 | Prolong outpt/office vis | $17.05M |
| 55 | J3490 | Unclassified drugs | $16.66M |
| 56 | H0038 | Self-help/peer services, per 15 minutes | $16.59M |
| 57 | A0130 | Non-emergency transportation: wheelchair van | $16.28M |
| 58 | H0012 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) | $16.28M |
| 59 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $16.13M |
| 60 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $15.90M |
| 61 | T1005 | Respite care services, up to 15 minutes | $15.38M |
| 62 | 00170 | Anesthesia for intraoral procedures, including biopsy | $15.26M |
| 63 | H0040 | Assertive community treatment program, per diem | $15.20M |
| 64 | D0140 | Limited oral evaluation - problem focused | $14.51M |
| 65 | D0220 | Intraoral - periapical first radiographic image | $14.30M |
| 66 | D1120 | Prophylaxis - child | $13.01M |
| 67 | D0150 | Comprehensive oral evaluation - new or established patient | $12.96M |
| 68 | 81229 | $12.75M | |
| 69 | 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | $12.62M |
| 70 | 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 | $12.31M |
| 71 | T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | $12.12M |
| 72 | S5150 | Unskilled respite care, not hospice; per 15 minutes | $12.09M |
| 73 | T1030 | Nursing care, in the home, by registered nurse, per diem | $12.01M |
| 74 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $11.88M |
| 75 | D1351 | Sealant - per tooth | $11.70M |
| 76 | 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | $11.37M |
| 77 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $11.27M |
| 78 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $11.25M |
| 79 | 81479 | Unlisted molecular pathology procedure | $11.24M |
| 80 | T1002 | Rn services, up to 15 minutes | $10.98M |
| 81 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $10.89M |
| 82 | 99233 | Prolong inpt eval add15 m | $10.44M |
| 83 | 0364T | $10.27M | |
| 84 | 81211 | $10.22M | |
| 85 | D2150 | Silver amalgam - two surfaces, primary or permanent | $10.03M |
| 86 | 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 | $9.74M |
| 87 | A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | $9.69M |
| 88 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $9.56M |
| 89 | H0006 | Alcohol and/or drug services; case management | $9.50M |
| 90 | T2042 | Hospice routine home care; per diem | $9.47M |
| 91 | 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 | $9.38M |
| 92 | 81406 | $9.00M | |
| 93 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $8.95M |
| 94 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $8.71M |
| 95 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $8.54M |
| 96 | A4657 | Syringe, with or without needle, each | $8.51M |
| 97 | 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | $8.33M |
| 98 | 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 | $8.18M |
| 99 | T2004 | Non-emergency transport; commercial carrier, multi-pass | $7.84M |
| 100 | 80053 | Comprehensive metabolic panel | $7.81M |
| 101 | D0272 | Bitewings - two radiographic images | $7.71M |
| 102 | C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | $7.42M |
| 103 | E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | $7.24M |
| 104 | A0999 | Unlisted ambulance service | $7.12M |
| 105 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $6.87M |
| 106 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $6.74M |
| 107 | A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $6.59M |
| 108 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $6.57M |
| 109 | T2003 | Non-emergency transportation; encounter/trip | $6.52M |
| 110 | S9131 | Physical therapy; in the home, per diem | $6.45M |
| 111 | J8499 | Prescription drug, oral, non chemotherapeutic, nos | $6.23M |
| 112 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $6.23M |
| 113 | J1100 | Injection, dexamethasone sodium phosphate, 1 mg | $6.20M |
| 114 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $6.17M |
| 115 | 90792 | Psychiatric diagnostic evaluation with medical services | $6.14M |
| 116 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $6.06M |
| 117 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $6.03M |
| 118 | D1206 | Topical application of fluoride varnish | $5.95M |
| 119 | S9485 | Crisis intervention mental health services, per diem | $5.95M |
| 120 | 99309 | Subsequent nursing facility care, per day, low to moderate complexity | $5.94M |
| 121 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $5.91M |
| 122 | 90846 | Family psychotherapy without the patient present, 50 minutes | $5.91M |
| 123 | G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | $5.88M |
| 124 | A0110 | Non-emergency transportation and bus, intra or inter state carrier | $5.79M |
| 125 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $5.70M |
| 126 | 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | $5.69M |
| 127 | 97151 | $5.69M | |
| 128 | 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | $5.52M |
| 129 | T2049 | Non-emergency transportation; stretcher van, mileage; per mile | $5.31M |
| 130 | D7140 | Extraction, erupted tooth or exposed root | $5.26M |
| 131 | J1885 | Injection, ketorolac tromethamine, per 15 mg | $5.21M |
| 132 | 80050 | General health panel | $5.21M |
| 133 | T2029 | Specialized medical equipment, not otherwise specified, waiver | $5.20M |
| 134 | J0690 | Injection, cefazolin sodium, 500 mg | $5.20M |
| 135 | 81307 | $5.11M | |
| 136 | 99232 | Subsequent hospital care, per day, moderate complexity | $5.05M |
| 137 | T2033 | Residential care, not otherwise specified (nos), waiver; per diem | $5.03M |
| 138 | J2704 | Injection, propofol, 10 mg | $4.90M |
| 139 | T1003 | Lpn/lvn services, up to 15 minutes | $4.88M |
| 140 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $4.86M |
| 141 | 99223 | Prolong inpt eval add15 m | $4.86M |
| 142 | A4554 | Disposable underpads, all sizes | $4.82M |
| 143 | T2007 | Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments | $4.79M |
| 144 | 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | $4.74M |
| 145 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $4.66M |
| 146 | H2000 | Comprehensive multidisciplinary evaluation | $4.62M |
| 147 | A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | $4.53M |
| 148 | A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | $4.51M |
| 149 | A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | $4.50M |
| 150 | J2323 | Injection, natalizumab, 1 mg | $4.42M |
| 151 | 71046 | Radiologic examination, chest; 2 views | $4.39M |
| 152 | D8080 | Comprehensive orthodontic treatment of the adolescent dentition | $4.30M |
| 153 | D2140 | $4.30M | |
| 154 | A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | $4.28M |
| 155 | J2405 | Injection, ondansetron hydrochloride, per 1 mg | $4.24M |
| 156 | 70450 | Computed tomography, head or brain; without contrast material | $4.24M |
| 157 | 99310 | Prolong nursin fac eval 15m | $4.11M |
| 158 | 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 | $4.07M |
| 159 | S5125 | Attendant care services; per 15 minutes | $4.01M |
| 160 | D0274 | Bitewings - four radiographic images | $4.00M |
| 161 | A0435 | Fixed wing air mileage, per statute mile | $3.98M |
| 162 | D2930 | Prefabricated stainless steel crown - primary tooth | $3.94M |
| 163 | B9002 | Enteral nutrition infusion pump, any type | $3.94M |
| 164 | J7639 | Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | $3.91M |
| 165 | 96361 | Intravenous infusion, hydration; each additional hour | $3.89M |
| 166 | E0601 | Continuous positive airway pressure (cpap) device | $3.82M |
| 167 | Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | $3.77M |
| 168 | 71045 | Radiologic examination, chest; single view | $3.59M |
| 169 | D1110 | Prophylaxis - adult | $3.54M |
| 170 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $3.53M |
| 171 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $3.50M |
| 172 | J2250 | Injection, midazolam hydrochloride, per 1 mg | $3.42M |
| 173 | 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 | $3.41M |
| 174 | T2024 | Service assessment/plan of care development, waiver | $3.39M |
| 175 | D0330 | Panoramic radiographic image | $3.37M |
| 176 | S0209 | Wheelchair van, mileage, per mile | $3.35M |
| 177 | E0445 | Oximeter device for measuring blood oxygen levels non-invasively | $3.29M |
| 178 | J0585 | Injection, onabotulinumtoxina, 1 unit | $3.20M |
| 179 | D0230 | Intraoral - periapical each additional radiographic image | $3.13M |
| 180 | A0436 | Rotary wing air mileage, per statute mile | $3.09M |
| 181 | E0676 | Intermittent limb compression device (includes all accessories), not otherwise specified | $3.07M |
| 182 | E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | $2.99M |
| 183 | 96130 | $2.99M | |
| 184 | 71275 | Computed tomographic angiography, chest, with contrast material | $2.97M |
| 185 | A0390 | Als mileage (per mile) | $2.93M |
| 186 | V2020 | Frames, purchases | $2.88M |
| 187 | 96131 | $2.81M | |
| 188 | A9576 | Injection, gadoteridol, (prohance multipack), per ml | $2.76M |
| 189 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $2.67M |
| 190 | 96116 | $2.67M | |
| 191 | A9270 | Non-covered item or service | $2.66M |
| 192 | 85027 | $2.66M | |
| 193 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $2.64M |
| 194 | T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | $2.64M |
| 195 | A4927 | Gloves, non-sterile, per 100 | $2.47M |
| 196 | 0368T | $2.46M | |
| 197 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $2.42M |
| 198 | J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | $2.40M |
| 199 | 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 | $2.35M |
| 200 | 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | $2.34M |