| 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) |
105,389 |
24,930 |
$7.94M |
| W1761 |
|
8,690 |
8,663 |
$1.06M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
26,103 |
15,061 |
$967K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,485 |
10,491 |
$929K |
| H0001 |
Alcohol and/or drug assessment |
2,104 |
2,096 |
$364K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,732 |
2,372 |
$298K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,684 |
2,548 |
$131K |
| W1760 |
|
419 |
419 |
$45K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,382 |
1,289 |
$30K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
91 |
91 |
$20K |
| 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) |
74 |
31 |
$4K |
| 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 |
14 |
13 |
$545.74 |
| W9520 |
|
15 |
15 |
$142.50 |