| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
Alcohol and/or other drug treatment program, per diem |
57,714 |
4,218 |
$6.82M |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
40,106 |
21,883 |
$3.92M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,476 |
13,944 |
$2.08M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
36,271 |
8,777 |
$1.86M |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
12,565 |
7,558 |
$1.66M |
| 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) |
7,543 |
2,392 |
$1.50M |
| H2001 |
Rehabilitation program, per 1/2 day |
12,977 |
3,384 |
$1.03M |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
3,805 |
3,776 |
$634K |
| H0038 |
Self-help/peer services, per 15 minutes |
9,173 |
4,798 |
$477K |
| H0001 |
Alcohol and/or drug assessment |
2,203 |
2,061 |
$305K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
8,673 |
862 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
568 |
546 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
569 |
566 |
$70K |
| 90832 |
Psychotherapy, 30 minutes with patient |
549 |
455 |
$47K |
| 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 |
1,085 |
532 |
$44K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,032 |
1,957 |
$27K |