| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
90,382 |
21,918 |
$15.22M |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
23,074 |
11,815 |
$4.39M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
15,008 |
1,466 |
$4.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,805 |
20,255 |
$3.42M |
| T1002 |
Rn services, up to 15 minutes |
52,367 |
23,435 |
$2.87M |
| 90837 |
Psychotherapy, 53 minutes with patient |
25,964 |
14,016 |
$2.51M |
| S5000 |
Prescription drug, generic |
17,737 |
7,969 |
$2.50M |
| S5001 |
Prescription drug, brand name |
9,772 |
3,256 |
$2.42M |
| H0006 |
Alcohol and/or drug services; case management |
44,856 |
18,328 |
$2.34M |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
3,927 |
899 |
$1.57M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
24,098 |
8,388 |
$1.29M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,299 |
7,216 |
$771K |
| 82075 |
|
37,021 |
24,907 |
$758K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
15,125 |
9,225 |
$732K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
46,912 |
30,509 |
$655K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
11,669 |
8,314 |
$619K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
16,119 |
8,580 |
$311K |
| H0038 |
Self-help/peer services, per 15 minutes |
13,920 |
3,290 |
$260K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,305 |
2,019 |
$166K |
| 80305 |
|
25,487 |
15,367 |
$162K |
| 99215 |
Prolong outpt/office vis |
1,094 |
737 |
$154K |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
7,361 |
3,705 |
$138K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,888 |
1,322 |
$125K |
| 99205 |
Prolong outpt/office vis |
554 |
506 |
$119K |
| 90836 |
|
1,776 |
1,237 |
$118K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
542 |
504 |
$94K |
| 90791 |
Psychiatric diagnostic evaluation |
584 |
547 |
$61K |
| 90785 |
|
2,922 |
1,761 |
$25K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
667 |
184 |
$21K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
385 |
68 |
$16K |
| 81025 |
|
2,536 |
1,876 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
84 |
$10K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
203 |
114 |
$5K |
| 99406 |
|
510 |
427 |
$3K |
| J3490 |
Unclassified drugs |
41 |
34 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
715 |
653 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
189 |
155 |
$2K |
| 86580 |
|
58 |
55 |
$326.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
14 |
$312.34 |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
15 |
12 |
$292.11 |
| J2310 |
Injection, naloxone hydrochloride, per 1 mg |
14 |
12 |
$19.08 |