| 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) |
26,368 |
9,060 |
$5.27M |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
15,878 |
10,034 |
$2.03M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
78,011 |
6,215 |
$1.81M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
32,025 |
7,281 |
$1.57M |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
11,703 |
8,329 |
$1.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,280 |
3,583 |
$492K |
| H0038 |
Self-help/peer services, per 15 minutes |
4,768 |
2,151 |
$302K |
| H0001 |
Alcohol and/or drug assessment |
1,153 |
1,114 |
$163K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,359 |
1,206 |
$153K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
710 |
705 |
$116K |
| 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) |
438 |
182 |
$113K |
| 90834 |
Psychotherapy, 45 minutes with patient |
711 |
474 |
$99K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,155 |
1,762 |
$89K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,598 |
516 |
$84K |
| 99215 |
Prolong outpt/office vis |
584 |
571 |
$60K |
| 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 |
874 |
590 |
$33K |
| H0033 |
Oral medication administration, direct observation |
1,189 |
120 |
$28K |
| 90832 |
Psychotherapy, 30 minutes with patient |
200 |
155 |
$21K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
111 |
106 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
84 |
84 |
$10K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
701 |
57 |
$8K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
18 |
$2K |
| 99385 |
|
14 |
14 |
$2K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
66 |
29 |
$690.53 |