| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
173,527 |
24,701 |
$8.12M |
| 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 |
43,681 |
4,798 |
$4.85M |
| 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) |
43,583 |
11,048 |
$3.81M |
| 90834 |
Psychotherapy, 45 minutes with patient |
22,688 |
5,057 |
$2.04M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
4,437 |
315 |
$347K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
84,472 |
24,018 |
$209K |
| 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 |
467 |
451 |
$185K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,070 |
898 |
$141K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
362 |
335 |
$137K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,243 |
6,284 |
$128K |
| 90791 |
Psychiatric diagnostic evaluation |
734 |
733 |
$119K |
| 82075 |
|
14,117 |
4,201 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,526 |
1,339 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
757 |
748 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
867 |
801 |
$42K |
| 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 |
1,345 |
713 |
$41K |
| G0434 |
Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter |
1,418 |
1,356 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
216 |
216 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
161 |
$10K |
| 99215 |
Prolong outpt/office vis |
35 |
35 |
$6K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
913 |
775 |
$4K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
26 |
26 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
31 |
$2K |
| 80305 |
|
157 |
86 |
$2K |
| 86580 |
|
32 |
32 |
$160.00 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
31 |
$116.25 |
| G2080 |
Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
50 |
27 |
$0.00 |