| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0109 |
Methadone, oral, 5 mg |
732,115 |
24,964 |
$4.16M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
504,514 |
25,673 |
$3.93M |
| G9012 |
Other specified case management service not elsewhere classified |
6,364 |
5,977 |
$1.48M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
21,820 |
15,377 |
$1.21M |
| 99215 |
Prolong outpt/office vis |
4,059 |
3,011 |
$308K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
9,435 |
411 |
$184K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
809 |
756 |
$104K |
| 80305 |
|
10,552 |
7,200 |
$70K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
1,448 |
1,100 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
302 |
214 |
$13K |
| 86580 |
|
1,272 |
1,175 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
195 |
176 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
182 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
255 |
176 |
$2K |
| 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) |
1,001 |
302 |
$2K |
| 81025 |
|
331 |
288 |
$2K |
| 82075 |
|
320 |
173 |
$966.00 |
| 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 |
31 |
24 |
$16.28 |