Medicaid Provider Spending

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

Billing Codes in Wyoming

All 840 procedure codes billed by Medicaid providers in Wyoming, ranked by total spending.

#CodeDescriptionTotal Paid
1 T2016 Habilitation, residential, waiver; per diem $199.99M
2 T1015 Clinic visit/encounter, all-inclusive $174.94M
3 T2022 Case management, per month $65.18M
4 S5100 Day care services, adult; per 15 minutes $40.70M
5 T2031 Assisted living; waiver, per diem $35.44M
6 H2019 Therapeutic behavioral services, per 15 minutes $32.86M
7 T2024 Service assessment/plan of care development, waiver $18.59M
8 99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity $17.66M
9 99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity $17.26M
10 T2021 Day habilitation, waiver; per 15 minutes $17.19M
11 T1004 Services of a qualified nursing aide, up to 15 minutes $15.59M
12 90837 Psychotherapy, 53 minutes with patient $11.11M
13 99284 Emergency department visit for the evaluation and management, high severity $10.74M
14 S5108 Home care training to home care client, per 15 minutes $9.95M
15 E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate $9.39M
16 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) $8.88M
17 S5145 Foster care, therapeutic, child; per diem $8.47M
18 99283 Emergency department visit for the evaluation and management, moderate severity $8.40M
19 D9999 Unspecified adjunctive procedure, by report $7.61M
20 T2017 Habilitation, residential, waiver; 15 minutes $7.57M
21 97530 Therapeutic activities, direct patient contact, each 15 minutes $7.07M
22 41899 Unlisted procedure, dentoalveolar structures $6.63M
23 G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes $6.41M
24 T1002 Rn services, up to 15 minutes $5.95M
25 99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life $5.92M
26 T2019 Habilitation, supported employment, waiver; per 15 minutes $5.40M
27 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) $5.03M
28 D0120 Periodic oral evaluation - established patient $4.90M
29 D1206 Topical application of fluoride varnish $4.78M
30 S5170 Home delivered meals, including preparation; per meal $4.43M
31 G9012 Other specified case management service not elsewhere classified $4.30M
32 D1120 Prophylaxis - child $3.78M
33 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder $3.60M
34 S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan $3.42M
35 S5135 Companion care, adult (e.g., iadl/adl); per 15 minutes $3.32M
36 97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion $3.30M
37 90460 Immunization administration through 18 years of age via any route, first or only component $3.13M
38 99233 Prolong inpt eval add15 m $2.75M
39 92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient $2.71M
40 A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) $2.45M
41 D2392 Resin-based composite - two surfaces, posterior, primary or permanent $2.45M
42 D1110 Prophylaxis - adult $2.44M
43 H2014 Skills training and development, per 15 minutes $2.23M
44 S5125 Attendant care services; per 15 minutes $2.14M
45 T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter $2.12M
46 99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) $2.08M
47 90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) $2.07M
48 D1351 Sealant - per tooth $1.87M
49 D2930 Prefabricated stainless steel crown - primary tooth $1.85M
50 A0429 Ambulance service, basic life support, emergency transport (bls-emergency) $1.71M
51 E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) $1.66M
52 V2020 Frames, purchases $1.64M
53 V2784 Lens, polycarbonate or equal, any index, per lens $1.53M
54 99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) $1.47M
55 D2391 Resin-based composite - one surface, posterior, primary or permanent $1.25M
56 S5161 Emergency response system; service fee, per month (excludes installation and testing) $1.23M
57 T1017 Targeted case management, each 15 minutes $1.22M
58 90834 Psychotherapy, 45 minutes with patient $1.19M
59 92609 $1.19M
60 99282 Emergency department visit for the evaluation and management, low to moderate severity $1.19M
61 92526 $1.16M
62 D0272 Bitewings - two radiographic images $1.11M
63 T1016 Case management, each 15 minutes $1.11M
64 90962 $1.11M
65 H0004 Behavioral health counseling and therapy, per 15 minutes $1.07M
66 99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity $1.06M
67 A0425 Ground mileage, per statute mile $960K
68 T2027 Specialized childcare, waiver; per 15 minutes $930K
69 D0220 Intraoral - periapical first radiographic image $914K
70 D0150 Comprehensive oral evaluation - new or established patient $868K
71 D0274 Bitewings - four radiographic images $859K
72 92015 Determination of refractive state $855K
73 99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity $845K
74 D7140 Extraction, erupted tooth or exposed root $842K
75 D8670 Periodic orthodontic treatment visit $816K
76 E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing $770K
77 D0330 Panoramic radiographic image $762K
78 99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward $716K
79 D2150 Silver amalgam - two surfaces, primary or permanent $700K
80 92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient $699K
81 87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets $696K
82 88305 Level IV - Surgical pathology, gross and microscopic examination $694K
83 D9230 Inhalation of nitrous oxide / analgesia, anxiolysis $681K
84 D7240 Removal of impacted tooth - completely bony $634K
85 T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each $604K
86 H2017 Psychosocial rehabilitation services, per 15 minutes $602K
87 96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance $593K
88 H0046 Mental health services, not otherwise specified $588K
89 97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination $583K
90 74177 Computed tomography, abdomen and pelvis; with contrast material $571K
91 99215 Prolong outpt/office vis $567K
92 D0140 Limited oral evaluation - problem focused $545K
93 99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) $535K
94 D0230 Intraoral - periapical each additional radiographic image $517K
95 00170 Anesthesia for intraoral procedures, including biopsy $516K
96 A4554 Disposable underpads, all sizes $512K
97 T4533 Youth sized disposable incontinence product, brief/diaper, each $502K
98 97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) $500K
99 97150 Therapeutic procedure(s), group (2 or more individuals) $496K
100 T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each $486K
101 98941 Chiropractic manipulative treatment; spinal, 3-4 regions $475K
102 V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens $458K
103 T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each $450K
104 90792 Psychiatric diagnostic evaluation with medical services $437K
105 T1005 Respite care services, up to 15 minutes $402K
106 99223 Prolong inpt eval add15 m $400K
107 B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape $397K
108 96110 Developmental screening, with scoring and documentation, per standardized instrument $395K
109 A0380 Bls mileage (per mile) $375K
110 90853 Group psychotherapy (other than of a multiple-family group) $374K
111 87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) $370K
112 T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each $359K
113 A0430 Ambulance service, conventional air services, transport, one way (fixed wing) $357K
114 90791 Psychiatric diagnostic evaluation $357K
115 0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel $353K
116 D9420 $336K
117 87631 $336K
118 S0280 Medical home program, comprehensive care coordination and planning, initial plan $331K
119 96112 $330K
120 92340 Fitting of spectacles, except for aphakia; monofocal $323K
121 92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder $322K
122 H0002 Behavioral health screening to determine eligibility for admission to treatment program $318K
123 D9222 $303K
124 87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A $277K
125 D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction $262K
126 T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each $260K
127 71045 Radiologic examination, chest; single view $258K
128 70450 Computed tomography, head or brain; without contrast material $255K
129 99232 Subsequent hospital care, per day, moderate complexity $254K
130 97597 $249K
131 87804 Infectious agent antigen detection by immunoassay; Influenza, each type $248K
132 D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment $246K
133 D9248 $245K
134 92250 $244K
135 93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only $231K
136 96130 $231K
137 T2023 Targeted case management; per month $230K
138 A0435 Fixed wing air mileage, per statute mile $229K
139 87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe $228K
140 95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials $227K
141 E0601 Continuous positive airway pressure (cpap) device $220K
142 A7031 Face mask interface, replacement for full face mask, each $217K
143 99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) $213K
144 99349 $209K
145 43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple $208K
146 H0038 Self-help/peer services, per 15 minutes $208K
147 A0428 Ambulance service, basic life support, non-emergency transport, (bls) $208K
148 87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets $207K
149 99231 Subsequent hospital care, per day, straightforward or low complexity $201K
150 87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe $199K
151 87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism $199K
152 90670 $199K
153 92065 $199K
154 90999 Unlisted dialysis procedure, inpatient or outpatient $195K
155 87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B $195K
156 93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete $193K
157 99309 Subsequent nursing facility care, per day, low to moderate complexity $186K
158 87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) $184K
159 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 $183K
160 80305 $180K
161 T4537 Incontinence product, protective underpad, reusable, bed size, each $172K
162 Q3014 Telehealth originating site facility fee $170K
163 95004 Percutaneous tests with allergenic extracts, immediate type reaction $169K
164 K0739 Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes $163K
165 A0390 Als mileage (per mile) $161K
166 H0031 Mental health assessment, by non-physician $161K
167 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine $157K
168 T2003 Non-emergency transportation; encounter/trip $152K
169 H0032 Mental health service plan development by non-physician $149K
170 S5130 Homemaker service, nos; per 15 minutes $147K
171 96101 $143K
172 97532 $142K
173 71046 Radiologic examination, chest; 2 views $142K
174 90472 Immunization administration, each additional vaccine (list separately) $140K
175 E1392 Portable oxygen concentrator, rental $132K
176 69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia $128K
177 V2410 Variable asphericity lens, single vision, full field, glass or plastic, per lens $119K
178 87428 $116K
179 D9110 $116K
180 96361 Intravenous infusion, hydration; each additional hour $115K
181 T1003 Lpn/lvn services, up to 15 minutes $115K
182 D1208 Topical application of fluoride, excluding varnish $113K
183 E0570 Nebulizer, with compressor $113K
184 87581 $112K
185 87486 $112K
186 45380 Colonoscopy, flexible; with biopsy, single or multiple $112K
187 87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV $110K
188 90838 $108K
189 A7030 Full face mask used with positive airway pressure device, each $108K
190 97127 $103K
191 97535 Self-care/home management training, each 15 minutes $102K
192 95861 $102K
193 A4927 Gloves, non-sterile, per 100 $101K
194 D9310 $99K
195 G0463 Hospital outpatient clinic visit for assessment and management of a patient $99K
196 90785 $97K
197 95938 $97K
198 D0145 Oral evaluation for a patient under three years of age $97K
199 90832 Psychotherapy, 30 minutes with patient $95K
200 A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) $92K