| 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) |
266,935 |
17,901 |
$6.44M |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
58,667 |
28,301 |
$5.52M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
82,344 |
16,205 |
$4.00M |
| 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) |
15,175 |
6,511 |
$3.06M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,621 |
9,407 |
$1.81M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,780 |
8,003 |
$1.24M |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
8,141 |
5,713 |
$1.01M |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
3,219 |
3,211 |
$511K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18,518 |
11,802 |
$369K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
2,764 |
451 |
$282K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,105 |
1,921 |
$243K |
| H0038 |
Self-help/peer services, per 15 minutes |
6,562 |
3,603 |
$217K |
| 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 |
5,511 |
2,709 |
$213K |
| J0592 |
Injection, buprenorphine hydrochloride, 0.1 mg |
10,758 |
431 |
$191K |
| H0033 |
Oral medication administration, direct observation |
8,389 |
441 |
$187K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,401 |
1,741 |
$102K |
| 99215 |
Prolong outpt/office vis |
564 |
547 |
$64K |
| 99442 |
|
584 |
412 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
364 |
364 |
$39K |
| G2068 |
Medication assisted treatment, buprenorphine (oral); 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) |
395 |
233 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
869 |
807 |
$11K |
| 99205 |
Prolong outpt/office vis |
117 |
115 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$4K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
50 |
34 |
$4K |
| 99443 |
|
34 |
30 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
12 |
12 |
$2K |