| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
1,145,367 |
43,713 |
$9.23M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
92,548 |
31,772 |
$5.66M |
| S0109 |
Methadone, oral, 5 mg |
1,015,336 |
42,930 |
$4.89M |
| G9012 |
Other specified case management service not elsewhere classified |
14,013 |
13,567 |
$3.36M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
42,275 |
29,155 |
$2.82M |
| 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) |
6,066 |
244 |
$448K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
2,324 |
2,195 |
$302K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,006 |
743 |
$60K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
2,462 |
1,166 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
693 |
641 |
$35K |
| 82075 |
|
7,242 |
3,985 |
$35K |
| 80305 |
|
2,009 |
1,444 |
$25K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
1,307 |
90 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
207 |
207 |
$17K |
| T1005 |
Respite care services, up to 15 minutes |
299 |
24 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
204 |
185 |
$7K |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
336 |
126 |
$3K |