All 3,676 procedure codes billed by Medicaid providers in Washington, ranked by total spending.
| # | Code | Description | Total Paid |
|---|---|---|---|
| 1 | T1015 | Clinic visit/encounter, all-inclusive | $3.20B |
| 2 | 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $692.22M |
| 3 | 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $550.66M |
| 4 | 99283 | Emergency department visit for the evaluation and management, moderate severity | $418.49M |
| 5 | 99284 | Emergency department visit for the evaluation and management, high severity | $411.19M |
| 6 | A0999 | Unlisted ambulance service | $396.18M |
| 7 | G0463 | Hospital outpatient clinic visit for assessment and management of a patient | $391.16M |
| 8 | 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $339.94M |
| 9 | H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | $287.49M |
| 10 | 96361 | Intravenous infusion, hydration; each additional hour | $274.21M |
| 11 | H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | $246.83M |
| 12 | 90837 | Psychotherapy, 53 minutes with patient | $242.64M |
| 13 | 90999 | Unlisted dialysis procedure, inpatient or outpatient | $212.01M |
| 14 | T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | $176.15M |
| 15 | H0004 | Behavioral health counseling and therapy, per 15 minutes | $157.09M |
| 16 | 74177 | Computed tomography, abdomen and pelvis; with contrast material | $147.46M |
| 17 | 97530 | Therapeutic activities, direct patient contact, each 15 minutes | $144.49M |
| 18 | 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $134.00M |
| 19 | G9149 | National committee for quality assurance - level 2 medical home | $132.49M |
| 20 | D0120 | Periodic oral evaluation - established patient | $120.52M |
| 21 | T1013 | Sign language or oral interpretive services, per 15 minutes | $113.17M |
| 22 | T1041 | Medicaid certified community behavioral health clinic services, per month | $109.75M |
| 23 | J7170 | Injection, emicizumab-kxwh, 0.5 mg | $108.69M |
| 24 | A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $107.74M |
| 25 | 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 | $103.10M |
| 26 | D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | $101.20M |
| 27 | 96165 | $96.55M | |
| 28 | E1399 | Durable medical equipment, miscellaneous | $90.42M |
| 29 | D2930 | Prefabricated stainless steel crown - primary tooth | $86.67M |
| 30 | H0043 | Supported housing, per diem | $86.16M |
| 31 | 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | $86.12M |
| 32 | 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $85.44M |
| 33 | D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | $82.23M |
| 34 | D1120 | Prophylaxis - child | $81.84M |
| 35 | 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 | $78.38M |
| 36 | 70450 | Computed tomography, head or brain; without contrast material | $75.90M |
| 37 | 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | $74.16M |
| 38 | D1206 | Topical application of fluoride varnish | $71.41M |
| 39 | 99215 | Prolong outpt/office vis | $69.02M |
| 40 | 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | $64.20M |
| 41 | A0425 | Ground mileage, per statute mile | $63.97M |
| 42 | D8080 | Comprehensive orthodontic treatment of the adolescent dentition | $63.79M |
| 43 | 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 | $60.22M |
| 44 | 90834 | Psychotherapy, 45 minutes with patient | $59.56M |
| 45 | T2025 | Waiver services; not otherwise specified (nos) | $58.76M |
| 46 | D2391 | Resin-based composite - one surface, posterior, primary or permanent | $56.88M |
| 47 | 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 | $55.93M |
| 48 | T1030 | Nursing care, in the home, by registered nurse, per diem | $55.91M |
| 49 | H2014 | Skills training and development, per 15 minutes | $55.29M |
| 50 | 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | $53.92M |
| 51 | T2035 | Utility services to support medical equipment and assistive technology/devices, waiver | $52.90M |
| 52 | 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | $52.05M |
| 53 | D1110 | Prophylaxis - adult | $50.06M |
| 54 | 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | $49.95M |
| 55 | 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | $49.15M |
| 56 | D0150 | Comprehensive oral evaluation - new or established patient | $46.45M |
| 57 | 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | $46.44M |
| 58 | 99232 | Subsequent hospital care, per day, moderate complexity | $46.35M |
| 59 | 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | $46.07M |
| 60 | 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | $45.89M |
| 61 | S9430 | Pharmacy compounding and dispensing services | $45.87M |
| 62 | 80053 | Comprehensive metabolic panel | $45.64M |
| 63 | 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 | $45.48M |
| 64 | 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | $43.92M |
| 65 | D1351 | Sealant - per tooth | $41.86M |
| 66 | 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | $41.32M |
| 67 | J9271 | Injection, pembrolizumab, 1 mg | $40.81M |
| 68 | A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $40.65M |
| 69 | 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $39.41M |
| 70 | H2015 | Comprehensive community support services, per 15 minutes | $39.16M |
| 71 | 99233 | Prolong inpt eval add15 m | $38.69M |
| 72 | D0140 | Limited oral evaluation - problem focused | $38.50M |
| 73 | D7140 | Extraction, erupted tooth or exposed root | $38.32M |
| 74 | D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | $36.85M |
| 75 | 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | $36.56M |
| 76 | B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | $36.23M |
| 77 | 97153 | Adaptive behavior treatment by protocol, administered by technician, each 15 minutes | $35.43M |
| 78 | T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | $35.39M |
| 79 | H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | $35.35M |
| 80 | 74176 | Computed tomography, abdomen and pelvis; without contrast material | $34.37M |
| 81 | H2023 | Supported employment, per 15 minutes | $34.13M |
| 82 | J7192 | Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified | $33.64M |
| 83 | S9485 | Crisis intervention mental health services, per diem | $33.40M |
| 84 | E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | $33.35M |
| 85 | 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | $33.33M |
| 86 | A4927 | Gloves, non-sterile, per 100 | $33.06M |
| 87 | 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | $33.02M |
| 88 | 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | $32.43M |
| 89 | Q5001 | Hospice or home health care provided in patient's home/residence | $31.68M |
| 90 | 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | $31.57M |
| 91 | T1002 | Rn services, up to 15 minutes | $31.54M |
| 92 | D0330 | Panoramic radiographic image | $31.11M |
| 93 | 96164 | $30.52M | |
| 94 | D7240 | Removal of impacted tooth - completely bony | $30.33M |
| 95 | 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 | $30.08M |
| 96 | 59025 | Fetal non-stress test | $30.08M |
| 97 | D0220 | Intraoral - periapical first radiographic image | $29.77M |
| 98 | S9480 | Intensive outpatient psychiatric services, per diem | $29.38M |
| 99 | 88305 | Level IV - Surgical pathology, gross and microscopic examination | $29.15M |
| 100 | S5102 | Day care services, adult; per diem | $28.56M |
| 101 | 00170 | Anesthesia for intraoral procedures, including biopsy | $27.54M |
| 102 | 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) | $26.93M |
| 103 | 90832 | Psychotherapy, 30 minutes with patient | $26.80M |
| 104 | 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | $26.68M |
| 105 | H2022 | Community-based wrap-around services, per diem | $26.29M |
| 106 | T4541 | Incontinence product, disposable underpad, large, each | $25.61M |
| 107 | T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | $25.35M |
| 108 | 76705 | Ultrasound, abdominal, real time with image documentation; limited | $25.11M |
| 109 | 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | $24.42M |
| 110 | H0038 | Self-help/peer services, per 15 minutes | $24.08M |
| 111 | H2013 | Psychiatric health facility service, per diem | $23.99M |
| 112 | 45380 | Colonoscopy, flexible; with biopsy, single or multiple | $23.72M |
| 113 | 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | $23.59M |
| 114 | H2036 | Alcohol and/or other drug treatment program, per diem | $23.44M |
| 115 | 71275 | Computed tomographic angiography, chest, with contrast material | $23.22M |
| 116 | J0178 | Injection, aflibercept, 1 mg | $23.20M |
| 117 | A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $23.19M |
| 118 | D1208 | Topical application of fluoride, excluding varnish | $23.09M |
| 119 | 80050 | General health panel | $22.91M |
| 120 | G0378 | Hospital observation service, per hour | $22.89M |
| 121 | D9999 | Unspecified adjunctive procedure, by report | $22.32M |
| 122 | E0601 | Continuous positive airway pressure (cpap) device | $22.07M |
| 123 | H0001 | Alcohol and/or drug assessment | $22.04M |
| 124 | 96153 | $21.79M | |
| 125 | T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | $21.68M |
| 126 | A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | $21.27M |
| 127 | T4537 | Incontinence product, protective underpad, reusable, bed size, each | $21.25M |
| 128 | D9222 | $21.09M | |
| 129 | D0272 | Bitewings - two radiographic images | $20.31M |
| 130 | T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | $20.25M |
| 131 | 36415 | Collection of venous blood by venipuncture | $20.17M |
| 132 | J1745 | Injection, infliximab, excludes biosimilar, 10 mg | $20.08M |
| 133 | A4657 | Syringe, with or without needle, each | $19.67M |
| 134 | 90791 | Psychiatric diagnostic evaluation | $19.61M |
| 135 | 84443 | Thyroid stimulating hormone (TSH) | $19.39M |
| 136 | D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | $19.38M |
| 137 | 80061 | Lipid panel | $19.05M |
| 138 | D8670 | Periodic orthodontic treatment visit | $18.89M |
| 139 | 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | $18.85M |
| 140 | 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | $18.76M |
| 141 | 99223 | Prolong inpt eval add15 m | $18.75M |
| 142 | J0585 | Injection, onabotulinumtoxina, 1 unit | $18.68M |
| 143 | 71046 | Radiologic examination, chest; 2 views | $18.41M |
| 144 | H0017 | Behavioral health; residential (hospital residential treatment program), without room and board, per diem | $17.58M |
| 145 | 76830 | Ultrasound, transvaginal | $17.52M |
| 146 | 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $17.40M |
| 147 | 95810 | Polysomnography; sleep staging with 4 or more additional parameters | $17.12M |
| 148 | D5110 | $17.10M | |
| 149 | 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | $16.89M |
| 150 | A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | $16.82M |
| 151 | 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | $16.76M |
| 152 | D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | $16.69M |
| 153 | H2020 | Therapeutic behavioral services, per diem | $15.95M |
| 154 | J2350 | Injection, ocrelizumab, 1 mg | $15.94M |
| 155 | 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | $15.94M |
| 156 | H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | $15.93M |
| 157 | D0274 | Bitewings - four radiographic images | $15.91M |
| 158 | 99281 | Emergency department visit for the evaluation and management, self-limited or minor | $15.53M |
| 159 | 77067 | Screening mammography, bilateral, including computer-aided detection | $15.47M |
| 160 | 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | $15.31M |
| 161 | 96415 | $15.18M | |
| 162 | Q3014 | Telehealth originating site facility fee | $14.89M |
| 163 | J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | $14.71M |
| 164 | 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 | $14.52M |
| 165 | 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | $14.18M |
| 166 | 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | $14.18M |
| 167 | D4341 | $13.54M | |
| 168 | D0999 | Unspecified diagnostic procedure, by report | $13.34M |
| 169 | 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | $13.11M |
| 170 | E1161 | Manual adult size wheelchair, includes tilt in space | $13.11M |
| 171 | 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | $12.91M |
| 172 | 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | $12.58M |
| 173 | H2019 | Therapeutic behavioral services, per 15 minutes | $12.47M |
| 174 | 77412 | $12.45M | |
| 175 | 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | $12.42M |
| 176 | 70551 | Magnetic resonance imaging, brain; without contrast material | $12.37M |
| 177 | 83036 | Hemoglobin; glycosylated (A1C) | $12.17M |
| 178 | 71045 | Radiologic examination, chest; single view | $12.02M |
| 179 | 81420 | Fetal chromosomal aneuploidy genomic sequence analysis panel | $11.99M |
| 180 | D2929 | $11.92M | |
| 181 | T2022 | Case management, per month | $11.90M |
| 182 | 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | $11.88M |
| 183 | B4087 | Gastrostomy/jejunostomy tube, standard, any material, any type, each | $11.58M |
| 184 | 82075 | $11.39M | |
| 185 | 92015 | Determination of refractive state | $11.34M |
| 186 | E0784 | External ambulatory infusion pump, insulin | $11.26M |
| 187 | 92340 | Fitting of spectacles, except for aphakia; monofocal | $11.07M |
| 188 | 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | $11.04M |
| 189 | D5120 | $11.02M | |
| 190 | D0230 | Intraoral - periapical each additional radiographic image | $10.89M |
| 191 | T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | $10.82M |
| 192 | G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | $10.61M |
| 193 | 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | $10.56M |
| 194 | 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | $10.54M |
| 195 | 90686 | $10.50M | |
| 196 | 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | $10.46M |
| 197 | G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | $10.38M |
| 198 | 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | $10.29M |
| 199 | T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | $10.23M |
| 200 | 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | $10.14M |