| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
5,561 |
1,305 |
$1.77M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
10,151 |
913 |
$1.63M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,479 |
8,100 |
$975K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,993 |
4,987 |
$634K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
3,499 |
1,418 |
$321K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
5,636 |
3,520 |
$312K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,378 |
3,613 |
$308K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
5,035 |
2,875 |
$247K |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
703 |
572 |
$209K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,681 |
2,346 |
$176K |
| 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 |
746 |
227 |
$101K |
| S5001 |
Prescription drug, brand name |
375 |
215 |
$84K |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
1,003 |
329 |
$76K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
2,823 |
357 |
$72K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,045 |
860 |
$65K |
| 99215 |
Prolong outpt/office vis |
513 |
464 |
$57K |
| 90791 |
Psychiatric diagnostic evaluation |
496 |
486 |
$50K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
1,805 |
1,202 |
$31K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,586 |
594 |
$31K |
| J0571 |
Buprenorphine, oral, 1 mg |
1,806 |
378 |
$30K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
1,571 |
1,359 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
99 |
$14K |
| H0006 |
Alcohol and/or drug services; case management |
666 |
475 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
373 |
330 |
$14K |
| 99205 |
Prolong outpt/office vis |
71 |
66 |
$11K |
| 90785 |
|
1,378 |
571 |
$10K |
| 82075 |
|
197 |
177 |
$4K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
83 |
74 |
$3K |
| H0038 |
Self-help/peer services, per 15 minutes |
142 |
92 |
$2K |
| T1002 |
Rn services, up to 15 minutes |
62 |
51 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
61 |
$1K |
| 99355 |
|
24 |
13 |
$1K |