| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,667 |
13,769 |
$1.11M |
| G2087 |
Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month |
1,169 |
1,146 |
$308K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
651 |
612 |
$283K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,349 |
4,447 |
$246K |
| 99215 |
Prolong outpt/office vis |
1,806 |
1,419 |
$160K |
| 99205 |
Prolong outpt/office vis |
813 |
807 |
$85K |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
176 |
176 |
$71K |
| 80305 |
|
5,944 |
4,279 |
$49K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
176 |
176 |
$47K |
| T2022 |
Case management, per month |
76 |
73 |
$30K |
| 99408 |
|
85 |
85 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
247 |
242 |
$23K |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
86 |
85 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
717 |
635 |
$21K |
| G2088 |
Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (list separately in addition to code for primary procedure) |
77 |
75 |
$4K |
| G2086 |
Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month |
14 |
12 |
$1K |