| 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) |
127,137 |
29,645 |
$12.01M |
| T2023 |
Targeted case management; per month |
5,416 |
4,973 |
$1.58M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,783 |
2,536 |
$189K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
2,342 |
2,047 |
$135K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
666 |
620 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,921 |
1,382 |
$81K |
| 99205 |
Prolong outpt/office vis |
539 |
498 |
$62K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,531 |
742 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,230 |
802 |
$28K |
| 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 |
331 |
46 |
$25K |
| 90838 |
|
463 |
361 |
$21K |
| 90837 |
Psychotherapy, 53 minutes with patient |
399 |
270 |
$20K |
| H0033 |
Oral medication administration, direct observation |
326 |
196 |
$18K |
| 99215 |
Prolong outpt/office vis |
286 |
194 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
161 |
131 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
60 |
$6K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
127 |
120 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
26 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
27 |
19 |
$1K |
| 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) |
325 |
101 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
48 |
44 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
91 |
71 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
12 |
$418.00 |
| 90836 |
|
17 |
12 |
$332.22 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$302.49 |
| 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 |
14 |
12 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
91 |
86 |
$0.00 |