| 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) |
1,814,282 |
64,886 |
$12.74M |
| 90834 |
Psychotherapy, 45 minutes with patient |
49,530 |
38,607 |
$3.74M |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
121,802 |
42,949 |
$1.61M |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
11,067 |
4,674 |
$1.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,481 |
18,444 |
$1.26M |
| H2035 |
Alcohol and/or other drug treatment program, per hour |
14,496 |
9,903 |
$994K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
25,952 |
15,160 |
$889K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,180 |
5,633 |
$572K |
| 99215 |
Prolong outpt/office vis |
3,274 |
3,271 |
$339K |
| 99205 |
Prolong outpt/office vis |
1,788 |
1,785 |
$250K |
| 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) |
1,146 |
836 |
$243K |
| H0001 |
Alcohol and/or drug assessment |
1,709 |
1,709 |
$238K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
5,777 |
3,914 |
$189K |
| 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 |
2,796 |
870 |
$99K |
| H2027 |
Psychoeducational service, per 15 minutes |
1,952 |
1,418 |
$39K |
| 90837 |
Psychotherapy, 53 minutes with patient |
280 |
271 |
$30K |
| 90832 |
Psychotherapy, 30 minutes with patient |
301 |
279 |
$10K |
| G2077 |
Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
61 |
54 |
$7K |
| 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 |
85 |
15 |
$5K |
| 97810 |
|
43 |
28 |
$3K |
| 99241 |
|
58 |
58 |
$3K |