| 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) |
27,293 |
7,564 |
$1.01M |
| S0109 |
Methadone, oral, 5 mg |
33,232 |
7,378 |
$839K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
13,236 |
6,379 |
$473K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
5,855 |
1,933 |
$129K |
| 80305 |
|
12,969 |
6,218 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,688 |
1,057 |
$48K |
| G9012 |
Other specified case management service not elsewhere classified |
190 |
157 |
$40K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
121 |
49 |
$14K |
| 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) |
1,694 |
436 |
$12K |
| 86580 |
|
288 |
171 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
12 |
$615.83 |
| 82075 |
|
28 |
12 |
$49.68 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
29 |
$36.96 |