| 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) |
71,253 |
16,664 |
$5.38M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
17,288 |
12,006 |
$1.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,154 |
6,389 |
$901K |
| H0001 |
Alcohol and/or drug assessment |
2,329 |
2,299 |
$403K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
1,424 |
1,412 |
$355K |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
3,643 |
868 |
$221K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
19,901 |
777 |
$217K |
| W1761 |
|
948 |
921 |
$97K |
| 99215 |
Prolong outpt/office vis |
386 |
376 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
308 |
288 |
$22K |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
2,998 |
210 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
895 |
826 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
419 |
397 |
$19K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
409 |
352 |
$17K |
| W1760 |
|
156 |
133 |
$16K |
| 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) |
521 |
182 |
$13K |
| 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 |
14 |
13 |
$3K |
| 80305 |
|
60 |
58 |
$642.00 |