| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
18,428 |
8,038 |
$3.69M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,678 |
16,032 |
$1.98M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
57,424 |
9,202 |
$1.80M |
| 90832 |
Psychotherapy, 30 minutes with patient |
14,642 |
8,435 |
$1.40M |
| 90834 |
Psychotherapy, 45 minutes with patient |
8,667 |
4,987 |
$1.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,253 |
5,515 |
$637K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,436 |
2,126 |
$239K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,053 |
669 |
$160K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,278 |
2,651 |
$150K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,217 |
1,199 |
$107K |
| H0038 |
Self-help/peer services, per 15 minutes |
861 |
426 |
$72K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
714 |
703 |
$63K |
| 99401 |
|
1,764 |
1,635 |
$62K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,511 |
1,468 |
$46K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,269 |
1,235 |
$43K |
| 99000 |
|
3,777 |
3,664 |
$42K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
693 |
632 |
$41K |
| 92551 |
|
569 |
564 |
$38K |
| H0001 |
Alcohol and/or drug assessment |
257 |
233 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
349 |
348 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
311 |
308 |
$30K |
| 92553 |
|
445 |
443 |
$28K |
| 90791 |
Psychiatric diagnostic evaluation |
162 |
155 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
6,572 |
6,367 |
$21K |
| 90686 |
|
850 |
846 |
$14K |
| 99406 |
|
437 |
418 |
$13K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
62 |
62 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,084 |
1,068 |
$8K |
| 90836 |
|
59 |
49 |
$6K |
| 99408 |
|
129 |
129 |
$5K |
| 90682 |
|
197 |
197 |
$5K |
| 0208T |
|
148 |
145 |
$4K |
| 90688 |
|
216 |
216 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,325 |
1,300 |
$2K |
| 99058 |
|
164 |
151 |
$1K |
| G2011 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes |
40 |
33 |
$1K |
| 90715 |
|
53 |
53 |
$1K |
| 99051 |
|
91 |
83 |
$991.29 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
45 |
$875.90 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$831.93 |
| 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 |
87 |
64 |
$717.10 |
| 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 |
42 |
31 |
$660.40 |
| 90461 |
|
50 |
49 |
$641.66 |
| 93000 |
|
1,043 |
992 |
$629.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
37 |
37 |
$426.96 |
| 96127 |
|
129 |
126 |
$403.29 |
| 83655 |
|
28 |
25 |
$373.86 |
| 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) |
16 |
13 |
$372.00 |
| 97802 |
|
13 |
13 |
$292.50 |
| 86580 |
|
25 |
25 |
$96.25 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
29 |
$14.97 |
| 85018 |
|
16 |
14 |
$5.70 |
| 82948 |
|
125 |
116 |
$2.11 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,176 |
1,012 |
$0.00 |
| 99080 |
|
138 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
34 |
$-0.86 |