All 676 procedure codes billed by Medicaid providers in Virgin Islands, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $13.85M |
| 2 | 36415 | Collection of venous blood by venipuncture | $12.88M |
| 3 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $10.70M |
| 4 | A0130 | Non-emergency transportation: wheelchair van | $9.75M |
| 5 | D2740 | Crown - porcelain/ceramic | $8.82M |
| 6 | A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | $8.59M |
| 7 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $5.56M |
| 8 | 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) | $3.96M |
| 9 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $3.32M |
| 10 | D7140 | Extraction, erupted tooth or exposed root | $2.70M |
| 11 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $2.63M |
| 12 | 99281 | Emergency department visit for the evaluation and management, self-limited or minor | $2.56M |
| 13 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $2.53M |
| 14 | D6750 | $2.45M | |
| 15 | J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | $2.38M |
| 16 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $2.29M |
| 17 | 90837 | Psychotherapy, 53 minutes with patient | $2.29M |
| 18 | D8080 | Comprehensive orthodontic treatment of the adolescent dentition | $2.09M |
| 19 | 80053 | Comprehensive metabolic panel | $2.06M |
| 20 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $1.86M |
| 21 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $1.84M |
| 22 | D3330 | Endodontic therapy, molar tooth (excluding final restoration) | $1.76M |
| 23 | D0150 | Comprehensive oral evaluation - new or established patient | $1.69M |
| 24 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $1.66M |
| 25 | 99215 | Prolong outpt/office vis | $1.59M |
| 26 | D6240 | $1.44M | |
| 27 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $1.42M |
| 28 | V2020 | Frames, purchases | $1.39M |
| 29 | D2950 | $1.38M | |
| 30 | D1110 | Prophylaxis - adult | $1.34M |
| 31 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $1.33M |
| 32 | D0330 | Panoramic radiographic image | $1.29M |
| 33 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $1.28M |
| 34 | 81003 | $1.23M | |
| 35 | D0140 | Limited oral evaluation - problem focused | $1.09M |
| 36 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $1.04M |
| 37 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $1.04M |
| 38 | D3320 | $1.01M | |
| 39 | V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | $996K |
| 40 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $995K |
| 41 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $935K |
| 42 | V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | $934K |
| 43 | D0210 | Intraoral - complete series of radiographic images | $934K |
| 44 | 71046 | Radiologic examination, chest; 2 views | $886K |
| 45 | 77067 | Screening mammography, bilateral, including computer-aided detection | $885K |
| 46 | D5214 | $885K | |
| 47 | 77063 | Screening digital breast tomosynthesis, bilateral | $859K |
| 48 | D2750 | $857K | |
| 49 | 99000 | $834K | |
| 50 | D1120 | Prophylaxis - child | $811K |
| 51 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $797K |
| 52 | 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | $796K |
| 53 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $781K |
| 54 | J2501 | Injection, paricalcitol, 1 mcg | $773K |
| 55 | D4341 | $742K | |
| 56 | D1330 | $742K | |
| 57 | D1351 | Sealant - per tooth | $740K |
| 58 | J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | $723K |
| 59 | Q9962 | High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml | $697K |
| 60 | D0120 | Periodic oral evaluation - established patient | $690K |
| 61 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $676K |
| 62 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $643K |
| 63 | D0274 | Bitewings - four radiographic images | $622K |
| 64 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $617K |
| 65 | 80061 | Lipid panel | $613K |
| 66 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $613K |
| 67 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $590K |
| 68 | 84443 | Thyroid stimulating hormone (TSH) | $578K |
| 69 | 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | $572K |
| 70 | 96158 | $571K | |
| 71 | 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | $567K |
| 72 | D9310 | $564K | |
| 73 | 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | $556K |
| 74 | 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | $548K |
| 75 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $540K |
| 76 | D2930 | Prefabricated stainless steel crown - primary tooth | $511K |
| 77 | 81025 | $502K | |
| 78 | 70450 | Computed tomography, head or brain; without contrast material | $501K |
| 79 | V2755 | U-v lens, per lens | $488K |
| 80 | D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | $485K |
| 81 | D1208 | Topical application of fluoride, excluding varnish | $450K |
| 82 | D0380 | $445K | |
| 83 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $443K |
| 84 | D3310 | $434K | |
| 85 | 90460 | Immunization administration through 18 years of age via any route, first or only component | $433K |
| 86 | C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | $424K |
| 87 | 90461 | $386K | |
| 88 | A0425 | Ground mileage, per statute mile | $378K |
| 89 | 99218 | $376K | |
| 90 | 93922 | $371K | |
| 91 | 99354 | $370K | |
| 92 | 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | $365K |
| 93 | V2760 | Scratch resistant coating, per lens | $365K |
| 94 | Q4081 | Injection, epoetin alfa, 100 units (for esrd on dialysis) | $354K |
| 95 | D1206 | Topical application of fluoride varnish | $351K |
| 96 | 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | $345K |
| 97 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $337K |
| 98 | D5213 | $335K | |
| 99 | 83036 | Hemoglobin; glycosylated (A1C) | $327K |
| 100 | 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | $317K |
| 101 | 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | $316K |
| 102 | D4355 | $308K | |
| 103 | D0220 | Intraoral - periapical first radiographic image | $302K |
| 104 | 87070 | $299K | |
| 105 | 99205 | Prolong outpt/office vis | $299K |
| 106 | 88142 | $295K | |
| 107 | J0606 | Injection, etelcalcetide, 0.1 mg | $292K |
| 108 | 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | $289K |
| 109 | 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | $278K |
| 110 | 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | $275K |
| 111 | D4910 | $266K | |
| 112 | 82962 | $264K | |
| 113 | 95819 | $263K | |
| 114 | 81002 | $249K | |
| 115 | J1644 | Injection, heparin sodium, per 1000 units | $246K |
| 116 | 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | $225K |
| 117 | 87086 | Culture, bacterial; quantitative colony count, urine | $223K |
| 118 | 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | $220K |
| 119 | 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | $218K |
| 120 | 67028 | Intravitreal injection of a pharmacologic agent | $217K |
| 121 | 88313 | $208K | |
| 122 | 99232 | Subsequent hospital care, per day, moderate complexity | $207K |
| 123 | Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | $203K |
| 124 | D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | $200K |
| 125 | G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | $199K |
| 126 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $198K |
| 127 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $191K |
| 128 | G0378 | Hospital observation service, per hour | $190K |
| 129 | D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | $188K |
| 130 | 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | $183K |
| 131 | 97533 | $183K | |
| 132 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $182K |
| 133 | V2745 | Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens | $182K |
| 134 | J0131 | Injection, acetaminophen, not otherwise specified,10 mg | $180K |
| 135 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $179K |
| 136 | D7250 | $178K | |
| 137 | D1310 | $175K | |
| 138 | 83037 | $173K | |
| 139 | D0470 | $173K | |
| 140 | D8660 | $171K | |
| 141 | 76830 | Ultrasound, transvaginal | $164K |
| 142 | 71045 | Radiologic examination, chest; single view | $163K |
| 143 | 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | $161K |
| 144 | 84703 | $158K | |
| 145 | D2331 | $157K | |
| 146 | 84439 | $156K | |
| 147 | 90791 | Psychiatric diagnostic evaluation | $156K |
| 148 | 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | $154K |
| 149 | 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | $151K |
| 150 | 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | $145K |
| 151 | J2250 | Injection, midazolam hydrochloride, per 1 mg | $143K |
| 152 | 99284 | Emergency department visit for the evaluation and management, high severity | $143K |
| 153 | 87110 | $140K | |
| 154 | 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | $139K |
| 155 | 90832 | Psychotherapy, 30 minutes with patient | $138K |
| 156 | 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 | $133K |
| 157 | 90834 | Psychotherapy, 45 minutes with patient | $132K |
| 158 | 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | $128K |
| 159 | 93000 | $127K | |
| 160 | J3490 | Unclassified drugs | $127K |
| 161 | 74176 | Computed tomography, abdomen and pelvis; without contrast material | $124K |
| 162 | D0230 | Intraoral - periapical each additional radiographic image | $122K |
| 163 | D3221 | $122K | |
| 164 | 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | $121K |
| 165 | 92134 | $120K | |
| 166 | 87088 | $120K | |
| 167 | J1050 | Injection, medroxyprogesterone acetate, 1 mg | $117K |
| 168 | 92250 | $116K | |
| 169 | 86003 | $114K | |
| 170 | 59025 | Fetal non-stress test | $111K |
| 171 | 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | $111K |
| 172 | 73630 | $108K | |
| 173 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $106K |
| 174 | 86592 | $104K | |
| 175 | 31575 | $104K | |
| 176 | D9630 | $103K | |
| 177 | 80074 | $102K | |
| 178 | 59426 | $101K | |
| 179 | 76801 | $100K | |
| 180 | 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | $92K |
| 181 | 81001 | $90K | |
| 182 | 76700 | Ultrasound, abdominal, real time with image documentation; complete | $90K |
| 183 | 87800 | $89K | |
| 184 | 96110 | Developmental screening, with scoring and documentation, per standardized instrument | $89K |
| 185 | D5110 | $87K | |
| 186 | D4921 | $84K | |
| 187 | 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | $84K |
| 188 | 82948 | $81K | |
| 189 | 87177 | $79K | |
| 190 | D0272 | Bitewings - two radiographic images | $78K |
| 191 | 88164 | $78K | |
| 192 | 85027 | $77K | |
| 193 | U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | $75K |
| 194 | 96131 | $74K | |
| 195 | 99442 | $68K | |
| 196 | 90785 | $67K | |
| 197 | 87210 | $67K | |
| 198 | 97803 | $66K | |
| 199 | 80048 | Basic metabolic panel (calcium, ionized) | $66K |
| 200 | 73030 | $65K |