| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
519,023 |
54,942 |
$248.21M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
402,092 |
26,504 |
$7.25M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
28,665 |
18,851 |
$1.54M |
| H0038 |
Self-help/peer services, per 15 minutes |
11,801 |
3,779 |
$552K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,313 |
7,279 |
$499K |
| 96165 |
|
14,628 |
3,101 |
$447K |
| H0001 |
Alcohol and/or drug assessment |
2,804 |
2,666 |
$384K |
| 96164 |
|
14,724 |
3,125 |
$281K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17,167 |
7,968 |
$231K |
| 99205 |
Prolong outpt/office vis |
1,416 |
1,399 |
$187K |
| Q3014 |
Telehealth originating site facility fee |
7,220 |
5,586 |
$175K |
| 82075 |
|
6,124 |
2,507 |
$166K |
| 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) |
6,274 |
1,643 |
$158K |
| 99215 |
Prolong outpt/office vis |
1,388 |
1,341 |
$148K |
| H0033 |
Oral medication administration, direct observation |
9,733 |
1,753 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,347 |
1,168 |
$100K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,326 |
1,752 |
$77K |
| 96153 |
|
373 |
90 |
$23K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,346 |
2,316 |
$11K |
| 86580 |
|
1,598 |
1,520 |
$10K |
| 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 |
3,144 |
917 |
$8K |
| 99417 |
Prolong home eval add 15m |
2,021 |
1,972 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,730 |
1,695 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
62 |
$5K |
| T1017 |
Targeted case management, each 15 minutes |
178 |
140 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
169 |
161 |
$1K |