| 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) |
8,438,595 |
389,288 |
$117.74M |
| 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) |
534,453 |
151,290 |
$63.97M |
| T1015 |
Clinic visit/encounter, all-inclusive |
130,680 |
34,163 |
$15.30M |
| G9012 |
Other specified case management service not elsewhere classified |
40,063 |
39,839 |
$10.70M |
| 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 |
180,009 |
82,591 |
$3.87M |
| G2074 |
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
45,545 |
23,967 |
$3.40M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
38,703 |
24,238 |
$2.05M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
107,814 |
37,169 |
$1.74M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
40,296 |
18,894 |
$1.38M |
| G2076 |
Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
7,760 |
7,708 |
$1.10M |
| 90832 |
Psychotherapy, 30 minutes with patient |
26,161 |
15,825 |
$1.07M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,583 |
2,001 |
$500K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,071 |
3,585 |
$359K |
| 90791 |
Psychiatric diagnostic evaluation |
2,030 |
2,026 |
$232K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,704 |
1,461 |
$183K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,818 |
1,462 |
$113K |
| H2015 |
Comprehensive community support services, per 15 minutes |
6,595 |
5,146 |
$90K |
| H0034 |
Medication training and support, per 15 minutes |
1,108 |
574 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,151 |
824 |
$82K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
7,717 |
184 |
$51K |
| J0575 |
Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine |
3,437 |
104 |
$36K |
| H2016 |
Comprehensive community support services, per diem |
274 |
116 |
$27K |
| G2077 |
Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
2,377 |
2,360 |
$25K |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
5,606 |
115 |
$15K |
| H0001 |
Alcohol and/or drug assessment |
141 |
62 |
$9K |
| J0573 |
Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine |
2,234 |
64 |
$8K |
| J0571 |
Buprenorphine, oral, 1 mg |
2,583 |
68 |
$4K |
| 99215 |
Prolong outpt/office vis |
48 |
48 |
$3K |