| 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) |
125,515 |
10,341 |
$3.61M |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
16,339 |
8,111 |
$1.71M |
| 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) |
4,632 |
1,986 |
$1.03M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
11,336 |
2,549 |
$607K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,935 |
2,104 |
$383K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
1,025 |
714 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
951 |
720 |
$104K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,112 |
2,540 |
$83K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,402 |
807 |
$76K |
| 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 |
1,258 |
579 |
$48K |
| H0038 |
Self-help/peer services, per 15 minutes |
739 |
633 |
$21K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
87 |
82 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102 |
86 |
$13K |
| 99215 |
Prolong outpt/office vis |
50 |
45 |
$6K |