| 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) |
86,722 |
6,046 |
$2.09M |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
10,621 |
6,213 |
$956K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
19,830 |
4,205 |
$919K |
| 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) |
4,332 |
1,884 |
$873K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,641 |
1,790 |
$300K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
1,694 |
1,282 |
$213K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,755 |
1,119 |
$170K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,137 |
2,647 |
$82K |
| 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 |
1,894 |
915 |
$74K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
476 |
471 |
$71K |
| H0038 |
Self-help/peer services, per 15 minutes |
751 |
425 |
$23K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
199 |
176 |
$9K |
| 99442 |
|
88 |
58 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
20 |
$2K |