| 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) |
75,024 |
19,298 |
$14.32M |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
80,684 |
3,433 |
$13.66M |
| H2015 |
Comprehensive community support services, per 15 minutes |
55,085 |
12,914 |
$6.90M |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
106,983 |
4,140 |
$5.69M |
| 90834 |
|
69,694 |
38,180 |
$5.51M |
| S9485 |
Crisis intervention mental health services, per diem |
6,825 |
3,937 |
$4.21M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
31,778 |
6,398 |
$3.97M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
16,763 |
12,540 |
$3.81M |
| H2011 |
Crisis intervention service, per 15 minutes |
22,758 |
6,694 |
$2.62M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
168,926 |
8,243 |
$2.52M |
| H2016 |
Comprehensive community support services, per diem |
111,353 |
4,767 |
$1.99M |
| 90837 |
|
18,019 |
11,126 |
$1.50M |
| T1027 |
Family training and counseling for child development, per 15 minutes |
12,655 |
2,678 |
$1.25M |
| 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 |
37,950 |
13,102 |
$1.21M |
| H0040 |
Assertive community treatment program, per diem |
12,252 |
437 |
$1.07M |
| H2014 |
Skills training and development, per 15 minutes |
11,211 |
1,760 |
$1.04M |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
3,719 |
1,948 |
$807K |
| 90832 |
|
14,537 |
11,668 |
$751K |
| 99214 |
|
14,266 |
13,326 |
$617K |
| 90882 |
|
10,287 |
6,234 |
$529K |
| 90791 |
|
3,710 |
3,288 |
$429K |
| H0038 |
Self-help/peer services, per 15 minutes |
4,566 |
1,024 |
$378K |
| T1017 |
Targeted case management, each 15 minutes |
2,643 |
550 |
$364K |
| G2076 |
Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
1,952 |
1,944 |
$324K |
| 90887 |
|
6,639 |
4,701 |
$270K |
| 99213 |
|
2,371 |
2,307 |
$133K |
| 96153 |
|
1,592 |
586 |
$119K |
| H0046 |
Mental health services, not otherwise specified |
2,515 |
1,481 |
$96K |
| 90853 |
|
2,763 |
1,193 |
$80K |
| 99404 |
|
965 |
964 |
$79K |
| 90847 |
|
843 |
533 |
$67K |
| H2012 |
Behavioral health day treatment, per hour |
766 |
98 |
$46K |
| H0031 |
Mental health assessment, by non-physician |
293 |
163 |
$45K |
| H0032 |
Mental health service plan development by non-physician |
220 |
141 |
$45K |
| 96165 |
|
619 |
251 |
$33K |
| 90833 |
|
814 |
774 |
$33K |
| 99215 |
Prolong outpt/office vis |
804 |
782 |
$30K |
| 96164 |
|
654 |
257 |
$12K |
| 0031A |
|
112 |
112 |
$5K |
| 0011A |
|
111 |
111 |
$5K |
| 0012A |
|
77 |
77 |
$4K |
| 90792 |
|
189 |
189 |
$3K |
| 96372 |
|
216 |
194 |
$3K |
| T2025 |
Waiver services; not otherwise specified (nos) |
46 |
35 |
$2K |
| 0001A |
|
12 |
12 |
$550.56 |