| 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) |
46,685 |
15,857 |
$7.66M |
| S5000 |
Prescription drug, generic |
31,962 |
10,896 |
$6.53M |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
34,334 |
10,952 |
$5.43M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,964 |
11,976 |
$1.69M |
| 90832 |
Psychotherapy, 30 minutes with patient |
29,959 |
22,816 |
$1.58M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
40,768 |
16,647 |
$1.48M |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
81,900 |
29,256 |
$1.16M |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,617 |
1,510 |
$160K |
| 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 |
1,143 |
237 |
$151K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,080 |
1,029 |
$150K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,181 |
1,344 |
$99K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
2,041 |
535 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
531 |
436 |
$24K |
| 99215 |
Prolong outpt/office vis |
102 |
88 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
200 |
175 |
$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) |
412 |
125 |
$11K |
| 99406 |
|
2,878 |
2,652 |
$7K |
| G2068 |
Medication assisted treatment, buprenorphine (oral); 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) |
144 |
47 |
$4K |
| 99205 |
Prolong outpt/office vis |
17 |
16 |
$4K |
| J0575 |
Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine |
218 |
57 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
110 |
109 |
$1K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
139 |
85 |
$0.00 |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
291 |
149 |
$0.00 |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
235 |
112 |
$0.00 |