| 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) |
4,224 |
698 |
$546K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
1,074 |
178 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,205 |
911 |
$105K |
| 90837 |
Psychotherapy, 53 minutes with patient |
97 |
56 |
$8K |
| 99215 |
Prolong outpt/office vis |
58 |
50 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
26 |
14 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$841.06 |
| Q3014 |
Telehealth originating site facility fee |
22 |
17 |
$490.98 |