| 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) |
120,370 |
41,771 |
$27.44M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
352,260 |
39,124 |
$10.04M |
| 90832 |
Psychotherapy, 30 minutes with patient |
60,915 |
33,726 |
$6.68M |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
45,796 |
20,666 |
$5.04M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
69,677 |
17,155 |
$4.00M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
30,536 |
2,962 |
$3.98M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,668 |
11,176 |
$1.77M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
26,889 |
9,205 |
$1.55M |
| H0001 |
Alcohol and/or drug assessment |
5,518 |
5,067 |
$916K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,659 |
4,890 |
$788K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
3,804 |
2,646 |
$577K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,820 |
3,270 |
$526K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,466 |
2,582 |
$525K |
| H2001 |
Rehabilitation program, per 1/2 day |
4,699 |
1,740 |
$461K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,021 |
2,284 |
$449K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
2,405 |
2,383 |
$443K |
| H0038 |
Self-help/peer services, per 15 minutes |
11,884 |
5,704 |
$424K |
| 90791 |
Psychiatric diagnostic evaluation |
1,342 |
1,325 |
$254K |
| 99215 |
Prolong outpt/office vis |
936 |
873 |
$124K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
914 |
900 |
$114K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
558 |
555 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
496 |
495 |
$67K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
864 |
728 |
$40K |
| 90836 |
|
369 |
365 |
$35K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
244 |
243 |
$15K |
| 99205 |
Prolong outpt/office vis |
57 |
57 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
783 |
766 |
$7K |
| 99385 |
|
14 |
14 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
68 |
66 |
$890.15 |