| 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) |
6,764,011 |
290,490 |
$92.10M |
| 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) |
414,280 |
122,182 |
$57.92M |
| 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 |
113,335 |
5,143 |
$15.74M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
22,079 |
2,351 |
$7.37M |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
14,678 |
3,277 |
$6.36M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
41,155 |
27,403 |
$2.25M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
47,217 |
20,731 |
$1.40M |
| 90791 |
Psychiatric diagnostic evaluation |
7,968 |
7,833 |
$974K |
| 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) |
8,868 |
6,146 |
$930K |
| 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 |
19,513 |
11,381 |
$627K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,957 |
7,975 |
$593K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,363 |
4,012 |
$439K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,682 |
1,893 |
$221K |
| 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 |
1,308 |
1,296 |
$188K |
| H2015 |
Comprehensive community support services, per 15 minutes |
5,345 |
3,334 |
$165K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,028 |
834 |
$39K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,164 |
571 |
$28K |
| 90834 |
Psychotherapy, 45 minutes with patient |
194 |
163 |
$15K |
| 90882 |
|
544 |
505 |
$12K |
| 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 |
225 |
224 |
$3K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
34 |
12 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| G2080 |
Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
442 |
401 |
$1K |