| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0109 |
Methadone, oral, 5 mg |
420,194 |
15,161 |
$2.57M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
301,963 |
15,576 |
$2.42M |
| G9012 |
Other specified case management service not elsewhere classified |
4,547 |
4,322 |
$1.09M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
17,317 |
11,015 |
$817K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
5,663 |
280 |
$108K |
| 99215 |
Prolong outpt/office vis |
911 |
817 |
$62K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
407 |
392 |
$54K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
909 |
636 |
$23K |
| 80305 |
|
3,261 |
2,231 |
$19K |
| 82075 |
|
4,030 |
457 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
107 |
96 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
411 |
324 |
$7K |
| 86580 |
|
932 |
869 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
19 |
19 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
120 |
98 |
$3K |
| 81025 |
|
405 |
353 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
37 |
$250.10 |
| 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) |
79 |
25 |
$0.00 |