| 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) |
138,196 |
33,204 |
$10.25M |
| W1761 |
|
37,706 |
37,457 |
$4.47M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
41,307 |
27,162 |
$2.63M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
44,036 |
7,391 |
$2.03M |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
125,097 |
4,890 |
$1.80M |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
24,134 |
5,990 |
$1.55M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,394 |
7,760 |
$1.02M |
| H0001 |
Alcohol and/or drug assessment |
4,299 |
4,212 |
$731K |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
69,042 |
3,038 |
$582K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,132 |
4,816 |
$379K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
1,507 |
1,467 |
$352K |
| J0573 |
Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine |
14,539 |
604 |
$196K |
| W1760 |
|
1,216 |
1,200 |
$134K |
| 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) |
5,047 |
1,303 |
$67K |
| 99215 |
Prolong outpt/office vis |
450 |
445 |
$62K |
| 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 |
554 |
304 |
$16K |
| H0038 |
Self-help/peer services, per 15 minutes |
134 |
93 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
111 |
109 |
$5K |
| 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 |
294 |
173 |
$4K |
| H0024 |
Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) |
130 |
64 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
77 |
76 |
$2K |
| G2074 |
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
126 |
58 |
$658.10 |
| 90889 |
|
26 |
26 |
$0.00 |