| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
26,628 |
8,119 |
$2.99M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
12,490 |
3,215 |
$862K |
| 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 |
2,821 |
2,048 |
$175K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
328 |
327 |
$142K |
| 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 |
207 |
205 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
619 |
556 |
$79K |
| 99215 |
Prolong outpt/office vis |
180 |
165 |
$31K |
| 90832 |
Psychotherapy, 30 minutes with patient |
244 |
186 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
53 |
53 |
$9K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
1,854 |
1,183 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
95 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
119 |
80 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
46 |
46 |
$4K |
| 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 |
36 |
13 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
56 |
56 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
25 |
18 |
$375.00 |