All 840 procedure codes billed by Medicaid providers in Wyoming, ranked by total spending.
| # | Code | Description | Total 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 |