| 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) |
24,845 |
23,480 |
$11.58M |
| J0575 |
Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine |
5,009 |
1,773 |
$674K |
| J0573 |
Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine |
3,887 |
1,478 |
$181K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,842 |
2,383 |
$174K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,268 |
2,929 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,698 |
3,903 |
$148K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
3,035 |
1,020 |
$122K |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
4,776 |
1,615 |
$118K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
843 |
754 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,628 |
1,445 |
$42K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,742 |
1,114 |
$36K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,852 |
904 |
$30K |
| 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) |
289 |
69 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
428 |
395 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
290 |
109 |
$8K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
107 |
99 |
$3K |
| 99221 |
|
42 |
40 |
$2K |
| 99215 |
Prolong outpt/office vis |
17 |
12 |
$856.22 |
| 90832 |
Psychotherapy, 30 minutes with patient |
85 |
50 |
$808.43 |
| 99223 |
Prolong inpt eval add15 m |
15 |
12 |
$566.85 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
21 |
20 |
$0.00 |