Medicaid Provider Spending

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

Billing Codes in Virginia

All 3,943 procedure codes billed by Medicaid providers in Virginia, ranked by total spending.

#CodeDescriptionTotal Paid
1 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) $4.18B
2 H2022 Community-based wrap-around services, per diem $2.09B
3 H0046 Mental health services, not otherwise specified $1.42B
4 T2033 Residential care, not otherwise specified (nos), waiver; per diem $1.19B
5 99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $988.13M
6 99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $801.31M
7 H0023 Behavioral health outreach service (planned approach to reach a targeted population) $747.84M
8 99283 Emergency department visit for the evaluation and management, moderate severity $668.49M
9 H2012 Behavioral health day treatment, per hour $648.53M
10 99284 Emergency department visit for the evaluation and management, high severity $627.66M
11 H2014 Skills training and development, per 15 minutes $510.44M
12 97150 Therapeutic procedure(s), group (2 or more individuals) $488.59M
13 T1005 Respite care services, up to 15 minutes $480.27M
14 99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life $446.87M
15 T1017 Targeted case management, each 15 minutes $431.61M
16 S9124 Nursing care, in the home; by licensed practical nurse, per hour $399.16M
17 T2003 Non-emergency transportation; encounter/trip $373.74M
18 90837 Psychotherapy, 53 minutes with patient $327.76M
19 S9482 Family stabilization services, per 15 minutes $311.27M
20 H2033 Multisystemic therapy for juveniles, per 15 minutes $294.13M
21 96361 Intravenous infusion, hydration; each additional hour $288.41M
22 H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) $287.05M
23 H0035 Mental health partial hospitalization, treatment, less than 24 hours $279.14M
24 H2011 Crisis intervention service, per 15 minutes $239.64M
25 S0201 Partial hospitalization services, less than 24 hours, per diem $238.81M
26 H2019 Therapeutic behavioral services, per 15 minutes $203.12M
27 S5121 Chore services; per diem $200.83M
28 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder $197.02M
29 G0463 Hospital outpatient clinic visit for assessment and management of a patient $194.26M
30 90999 Unlisted dialysis procedure, inpatient or outpatient $184.62M
31 G9012 Other specified case management service not elsewhere classified $180.00M
32 H2017 Psychosocial rehabilitation services, per 15 minutes $179.63M
33 97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion $165.45M
34 97530 Therapeutic activities, direct patient contact, each 15 minutes $163.34M
35 T2021 Day habilitation, waiver; per 15 minutes $144.29M
36 97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes $143.31M
37 99282 Emergency department visit for the evaluation and management, low to moderate severity $142.37M
38 H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) $141.44M
39 T1003 Lpn/lvn services, up to 15 minutes $140.27M
40 74177 Computed tomography, abdomen and pelvis; with contrast material $138.78M
41 70450 Computed tomography, head or brain; without contrast material $114.26M
42 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 $113.66M
43 A0130 Non-emergency transportation: wheelchair van $109.33M
44 H0040 Assertive community treatment program, per diem $101.29M
45 S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) $89.06M
46 H2016 Comprehensive community support services, per diem $88.27M
47 S5102 Day care services, adult; per diem $86.98M
48 97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes $86.00M
49 99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity $84.41M
50 T2005 Non-emergency transportation; stretcher van $81.38M
51 99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity $81.19M
52 G0378 Hospital observation service, per hour $81.05M
53 S0109 Methadone, oral, 5 mg $80.71M
54 93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete $77.58M
55 99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) $74.52M
56 90834 Psychotherapy, 45 minutes with patient $73.36M
57 80307 Drug test(s), presumptive, any number of drug classes; immunoassay $72.23M
58 D8670 Periodic orthodontic treatment visit $71.05M
59 A0100 Non-emergency transportation; taxi $71.04M
60 99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward $69.13M
61 D1120 Prophylaxis - child $68.59M
62 A0429 Ambulance service, basic life support, emergency transport (bls-emergency) $67.86M
63 A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) $64.87M
64 99232 Subsequent hospital care, per day, moderate complexity $64.53M
65 S0215 Non-emergency transportation; mileage, per mile $63.37M
66 99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) $63.02M
67 99215 Prolong outpt/office vis $62.90M
68 H0039 Assertive community treatment, face-to-face, per 15 minutes $62.51M
69 97139 $61.81M
70 H2034 Alcohol and/or drug abuse halfway house services, per diem $61.36M
71 D2392 Resin-based composite - two surfaces, posterior, primary or permanent $60.74M
72 T2022 Case management, per month $60.65M
73 A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems $60.02M
74 90935 Hemodialysis procedure with single evaluation by a physician $59.46M
75 H0043 Supported housing, per diem $58.14M
76 43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple $55.65M
77 T2023 Targeted case management; per month $53.26M
78 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 $52.51M
79 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour $52.29M
80 D0120 Periodic oral evaluation - established patient $49.23M
81 99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) $48.95M
82 H0004 Behavioral health counseling and therapy, per 15 minutes $47.41M
83 D1110 Prophylaxis - adult $47.18M
84 G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes $46.32M
85 J9271 Injection, pembrolizumab, 1 mg $46.30M
86 74176 Computed tomography, abdomen and pelvis; without contrast material $46.22M
87 99233 Prolong inpt eval add15 m $45.62M
88 A0425 Ground mileage, per statute mile $45.51M
89 41899 Unlisted procedure, dentoalveolar structures $44.93M
90 71275 Computed tomographic angiography, chest, with contrast material $44.35M
91 99509 Home visit for assistance with activities of daily living and personal care $42.29M
92 G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes $42.22M
93 90791 Psychiatric diagnostic evaluation $41.70M
94 96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour $40.96M
95 92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient $40.61M
96 96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour $39.55M
97 D1206 Topical application of fluoride varnish $39.49M
98 D2391 Resin-based composite - one surface, posterior, primary or permanent $38.63M
99 92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder $37.93M
100 90832 Psychotherapy, 30 minutes with patient $37.49M
101 A0428 Ambulance service, basic life support, non-emergency transport, (bls) $37.34M
102 Q5009 Hospice or home health care provided in place not otherwise specified (nos) $36.80M
103 H2018 Psychosocial rehabilitation services, per diem $36.37M
104 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 $35.85M
105 D7140 Extraction, erupted tooth or exposed root $35.49M
106 92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient $34.94M
107 H2036 Alcohol and/or other drug treatment program, per diem $34.25M
108 D2930 Prefabricated stainless steel crown - primary tooth $33.80M
109 97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination $33.06M
110 T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each $32.85M
111 99309 Subsequent nursing facility care, per day, low to moderate complexity $32.21M
112 G0153 Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes $31.22M
113 S9083 Global fee urgent care centers $30.64M
114 99223 Prolong inpt eval add15 m $29.80M
115 99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity $29.41M
116 T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each $28.29M
117 70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences $28.06M
118 59025 Fetal non-stress test $27.78M
119 0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel $27.57M
120 T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each $27.47M
121 E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate $27.16M
122 96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance $26.74M
123 H2020 Therapeutic behavioral services, per diem $26.61M
124 99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes $26.40M
125 99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) $25.81M
126 S9342 Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem $25.47M
127 45380 Colonoscopy, flexible; with biopsy, single or multiple $25.08M
128 90792 Psychiatric diagnostic evaluation with medical services $25.06M
129 E1399 Durable medical equipment, miscellaneous $25.06M
130 D0150 Comprehensive oral evaluation - new or established patient $24.96M
131 99281 Emergency department visit for the evaluation and management, self-limited or minor $24.94M
132 D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth $24.35M
133 D7240 Removal of impacted tooth - completely bony $23.51M
134 H0006 Alcohol and/or drug services; case management $23.23M
135 G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes $23.14M
136 96110 Developmental screening, with scoring and documentation, per standardized instrument $22.96M
137 94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction $22.72M
138 90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) $22.64M
139 J0178 Injection, aflibercept, 1 mg $21.59M
140 80053 Comprehensive metabolic panel $21.53M
141 76705 Ultrasound, abdominal, real time with image documentation; limited $21.44M
142 78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress $21.10M
143 S9485 Crisis intervention mental health services, per diem $20.77M
144 H2023 Supported employment, per 15 minutes $20.57M
145 76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up $20.51M
146 88305 Level IV - Surgical pathology, gross and microscopic examination $20.35M
147 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 $20.35M
148 71046 Radiologic examination, chest; 2 views $19.92M
149 87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) $19.90M
150 T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs $19.89M
151 H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes $19.68M
152 D1208 Topical application of fluoride, excluding varnish $19.54M
153 T1016 Case management, each 15 minutes $19.38M
154 45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) $19.30M
155 97161 $19.15M
156 D1351 Sealant - per tooth $19.15M
157 A9276 Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply $19.03M
158 T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each $18.95M
159 87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A $18.49M
160 87804 Infectious agent antigen detection by immunoassay; Influenza, each type $18.43M
161 D8080 Comprehensive orthodontic treatment of the adolescent dentition $18.36M
162 J0585 Injection, onabotulinumtoxina, 1 unit $18.31M
163 77067 Screening mammography, bilateral, including computer-aided detection $18.08M
164 76830 Ultrasound, transvaginal $17.25M
165 97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) $16.97M
166 Q5001 Hospice or home health care provided in patient's home/residence $16.93M
167 D0330 Panoramic radiographic image $16.75M
168 G2021 Health care practitioners rendering treatment in place (tip) $16.67M
169 H2024 Supported employment, per diem $16.47M
170 D0274 Bitewings - four radiographic images $15.98M
171 D9230 Inhalation of nitrous oxide / analgesia, anxiolysis $15.98M
172 T4544 Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each $15.82M
173 95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials $15.79M
174 J2357 Injection, omalizumab, 5 mg $15.68M
175 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 $15.34M
176 78815 Positron emission tomography (PET) for limited area imaging $15.02M
177 87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe $14.83M
178 90853 Group psychotherapy (other than of a multiple-family group) $14.80M
179 T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter $14.75M
180 V2020 Frames, purchases $14.74M
181 70551 Magnetic resonance imaging, brain; without contrast material $14.73M
182 J1745 Injection, infliximab, excludes biosimilar, 10 mg $14.66M
183 T1002 Rn services, up to 15 minutes $14.52M
184 D0272 Bitewings - two radiographic images $14.42M
185 T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each $14.41M
186 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 $14.40M
187 95810 Polysomnography; sleep staging with 4 or more additional parameters $14.30M
188 69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia $14.25M
189 66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis $14.14M
190 D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment $14.07M
191 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 $13.89M
192 90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits $13.65M
193 90945 $13.54M
194 T1027 Family training and counseling for child development, per 15 minutes $13.52M
195 96415 $13.46M
196 72148 Magnetic resonance imaging, lumbar spine; without contrast material $13.18M
197 97162 $13.11M
198 80305 $12.72M
199 90686 $12.59M
200 42820 Tonsillectomy and adenoidectomy; younger than age 12 $12.45M