| 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) |
503,191 |
135,827 |
$19.65M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
51,167 |
3,810 |
$11.29M |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
126,251 |
44,528 |
$9.52M |
| S5001 |
Prescription drug, brand name |
303,470 |
31,007 |
$6.19M |
| S5000 |
Prescription drug, generic |
157,191 |
17,324 |
$3.81M |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
8,534 |
1,593 |
$3.07M |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
171,874 |
93,599 |
$2.36M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,668 |
13,964 |
$1.96M |
| 90832 |
Psychotherapy, 30 minutes with patient |
39,125 |
29,932 |
$1.90M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,083 |
20,813 |
$1.86M |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
79,917 |
29,311 |
$1.41M |
| 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 |
7,698 |
1,933 |
$1.01M |
| H0006 |
Alcohol and/or drug services; case management |
32,822 |
19,593 |
$950K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
19,168 |
8,497 |
$713K |
| 90791 |
Psychiatric diagnostic evaluation |
3,737 |
3,493 |
$352K |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
14,983 |
5,661 |
$281K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,359 |
2,814 |
$211K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,289 |
1,718 |
$209K |
| 82075 |
|
9,308 |
1,281 |
$159K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,213 |
1,915 |
$100K |
| H2034 |
Alcohol and/or drug abuse halfway house services, per diem |
633 |
53 |
$97K |
| 99215 |
Prolong outpt/office vis |
646 |
572 |
$93K |
| J0573 |
Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine |
7,747 |
2,595 |
$63K |
| J0575 |
Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine |
2,006 |
713 |
$36K |
| 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) |
2,139 |
925 |
$36K |
| T1002 |
Rn services, up to 15 minutes |
423 |
299 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
265 |
242 |
$26K |
| 93000 |
|
1,501 |
1,316 |
$21K |
| 80305 |
|
1,822 |
1,074 |
$12K |
| J0571 |
Buprenorphine, oral, 1 mg |
289 |
97 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$8K |
| G2068 |
Medication assisted treatment, buprenorphine (oral); 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) |
314 |
150 |
$7K |
| J2310 |
Injection, naloxone hydrochloride, per 1 mg |
71 |
58 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
36 |
35 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
197 |
105 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
26 |
$2K |
| 99407 |
|
98 |
93 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
76 |
71 |
$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 |
659 |
326 |
$878.45 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
45 |
$178.10 |
| 99406 |
|
21 |
19 |
$75.44 |
| 81025 |
|
43 |
40 |
$45.48 |