| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
82,605 |
23,557 |
$18.32M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
54,907 |
4,932 |
$1.54M |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
3,654 |
2,797 |
$389K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,758 |
2,210 |
$341K |
| 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 |
4,909 |
2,178 |
$196K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
1,343 |
1,179 |
$181K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,276 |
998 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
186 |
174 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
168 |
160 |
$21K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
144 |
141 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
359 |
313 |
$7K |
| 99386 |
|
72 |
71 |
$6K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
37 |
13 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
12 |
12 |
$2K |