| 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) |
118,423 |
28,708 |
$9.96M |
| 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) |
86,705 |
24,774 |
$8.91M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,083 |
1,080 |
$424K |
| 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 |
3,659 |
577 |
$410K |
| 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 |
7,771 |
5,204 |
$396K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,809 |
2,710 |
$321K |
| G2076 |
Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
746 |
736 |
$312K |
| 99215 |
Prolong outpt/office vis |
1,071 |
919 |
$187K |
| 90791 |
Psychiatric diagnostic evaluation |
316 |
313 |
$57K |
| 90832 |
Psychotherapy, 30 minutes with patient |
624 |
513 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
415 |
398 |
$32K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
719 |
319 |
$20K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
4,249 |
3,327 |
$19K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
5,045 |
4,340 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
168 |
157 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
70 |
67 |
$6K |
| 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 |
28 |
26 |
$41.70 |