| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
41,904 |
4,353 |
$4.71M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
37,455 |
9,377 |
$3.38M |
| 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) |
9,103 |
2,457 |
$1.14M |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,276 |
2,780 |
$654K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
10,875 |
1,975 |
$299K |
| G0434 |
Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter |
13,454 |
7,603 |
$213K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
21,494 |
1,283 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,898 |
1,678 |
$145K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,018 |
1,815 |
$95K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
237 |
235 |
$81K |
| 80305 |
|
7,300 |
3,628 |
$73K |
| 90832 |
Psychotherapy, 30 minutes with patient |
824 |
548 |
$57K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,602 |
1,987 |
$44K |
| 90791 |
Psychiatric diagnostic evaluation |
254 |
251 |
$41K |
| 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 |
711 |
433 |
$34K |
| 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 |
68 |
67 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
253 |
218 |
$10K |
| 93000 |
|
224 |
196 |
$4K |
| 94060 |
|
43 |
42 |
$2K |
| 86580 |
|
314 |
312 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$1K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
17 |
17 |
$502.86 |
| 36415 |
Collection of venous blood by venipuncture |
274 |
270 |
$422.55 |
| 82075 |
|
27 |
27 |
$237.60 |
| G0473 |
Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes |
32 |
32 |
$176.64 |