| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0109 |
Methadone, oral, 5 mg |
987,818 |
39,590 |
$6.25M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,378 |
7,950 |
$443K |
| T1017 |
Targeted case management, each 15 minutes |
36,343 |
19,028 |
$433K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,457 |
5,235 |
$356K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
6,764 |
4,324 |
$171K |
| H0032 |
Mental health service plan development by non-physician |
2,323 |
2,288 |
$148K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
6,756 |
338 |
$115K |
| 99215 |
Prolong outpt/office vis |
828 |
821 |
$108K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
365 |
365 |
$53K |
| 84703 |
|
7,075 |
6,726 |
$42K |
| H0031 |
Mental health assessment, by non-physician |
294 |
293 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,326 |
657 |
$26K |
| H2015 |
Comprehensive community support services, per 15 minutes |
1,568 |
948 |
$17K |
| J0575 |
Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine |
890 |
42 |
$16K |
| J0571 |
Buprenorphine, oral, 1 mg |
1,051 |
59 |
$11K |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
653 |
36 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
118 |
$5K |
| 86485 |
|
68 |
67 |
$2K |