What are the top 10 procedures by total spending nationwide?
Personal care and home-based services dominate Medicaid spending nationwide. The top procedure, T1019 (Personal Care Services), accounts for over $121 billion in total spending—more than double the next highest category. Other major expenditure drivers include clinic services, residential habilitation, and standard outpatient evaluation and management visits.
Total Spend (Top Code)
$121,652,820,052.48
Top Clinical Visit Code
99213
| HCPCS Code | Description | Total Spending |
|---|---|---|
| T1019 | Personal care ser per 15 min | $121,652,820,052.48 |
| T1015 | Clinic service | $48,974,372,084.24 |
| T2016 | Habil res waiver per diem | $34,024,433,864.45 |
| 99213 | Office o/p est low 20 min | $32,855,651,737.86 |
| S5125 | Attendant care service /15m | $31,269,065,234.87 |
| 99214 | Office o/p est mod 30 min | $29,776,379,120.27 |
| 99284 | Emergency dept visit mod mdm | $20,126,021,592.13 |
| H2016 | Comp comm supp svc, per diem | $19,729,741,775.26 |
| 99283 | Emergency dept visit low mdm | $16,855,333,301.77 |
| H2015 | Comp comm supp svc, 15 min | $16,425,471,215.67 |