| 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) |
125,816 |
29,896 |
$11.90M |
| T2023 |
Targeted case management; per month |
9,551 |
8,520 |
$2.74M |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
10,125 |
8,636 |
$547K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,689 |
4,050 |
$362K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,106 |
1,886 |
$116K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,178 |
1,959 |
$109K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
526 |
474 |
$92K |
| 99205 |
Prolong outpt/office vis |
644 |
577 |
$68K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
5,579 |
3,061 |
$65K |
| 90838 |
|
1,295 |
795 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
994 |
663 |
$29K |
| 90837 |
Psychotherapy, 53 minutes with patient |
554 |
393 |
$27K |
| 99215 |
Prolong outpt/office vis |
251 |
207 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
67 |
$7K |
| 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) |
2,577 |
787 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
131 |
119 |
$3K |
| 90836 |
|
39 |
34 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
26 |
26 |
$1K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
31 |
24 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
37 |
$620.80 |
| 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 |
227 |
149 |
$88.98 |
| 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 |
28 |
24 |
$69.90 |