| 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) |
1,441,608 |
58,332 |
$11.41M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
65,227 |
37,919 |
$2.65M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,738 |
15,471 |
$1.45M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
5,226 |
234 |
$561K |
| 99215 |
Prolong outpt/office vis |
5,331 |
4,569 |
$535K |
| H0001 |
Alcohol and/or drug assessment |
2,981 |
2,701 |
$251K |
| J0575 |
Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine |
30,637 |
2,021 |
$214K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,576 |
3,111 |
$207K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
33,742 |
21,870 |
$183K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,511 |
1,027 |
$118K |
| 99205 |
Prolong outpt/office vis |
634 |
456 |
$82K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,318 |
1,206 |
$75K |
| H2034 |
Alcohol and/or drug abuse halfway house services, per diem |
859 |
27 |
$69K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
6,586 |
3,450 |
$60K |
| 90791 |
Psychiatric diagnostic evaluation |
735 |
651 |
$52K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
12,655 |
868 |
$44K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,326 |
1,007 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
968 |
867 |
$38K |
| 90834 |
Psychotherapy, 45 minutes with patient |
492 |
409 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
277 |
222 |
$26K |
| H0038 |
Self-help/peer services, per 15 minutes |
697 |
453 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
620 |
560 |
$12K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
206 |
141 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
75 |
70 |
$5K |
| 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) |
164 |
104 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
17 |
$2K |
| J0573 |
Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine |
301 |
36 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
31 |
$350.50 |
| 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 |
22 |
14 |
$125.07 |