| 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) |
138,764 |
33,640 |
$10.60M |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
279,510 |
10,569 |
$4.84M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
42,665 |
37,937 |
$3.83M |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
48,736 |
12,068 |
$3.33M |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
142,581 |
5,962 |
$1.66M |
| H0001 |
Alcohol and/or drug assessment |
3,882 |
3,864 |
$677K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
1,880 |
1,871 |
$454K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,012 |
878 |
$79K |
| J0573 |
Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine |
2,735 |
101 |
$44K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,591 |
1,349 |
$34K |
| 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) |
273 |
116 |
$13K |
| 99215 |
Prolong outpt/office vis |
50 |
49 |
$7K |
| G2078 |
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
67 |
40 |
$2K |