| 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) |
3,756 |
1,454 |
$729K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
6,371 |
759 |
$166K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,046 |
505 |
$109K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
392 |
293 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
300 |
166 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
193 |
128 |
$21K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
117 |
117 |
$20K |
| 90834 |
Psychotherapy, 45 minutes with patient |
141 |
96 |
$18K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
127 |
94 |
$18K |
| 90832 |
Psychotherapy, 30 minutes with patient |
159 |
120 |
$16K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
337 |
247 |
$16K |
| 90791 |
Psychiatric diagnostic evaluation |
117 |
114 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
121 |
91 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
127 |
110 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
364 |
210 |
$6K |
| 93040 |
|
108 |
56 |
$4K |
| H0038 |
Self-help/peer services, per 15 minutes |
96 |
71 |
$4K |
| 99385 |
|
44 |
44 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
13 |
$2K |
| 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 |
39 |
36 |
$2K |
| 99386 |
|
17 |
17 |
$1K |
| 36410 |
|
21 |
18 |
$1K |
| 99407 |
|
12 |
12 |
$529.63 |