| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
4,752 |
1,750 |
$644K |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
3,236 |
3,073 |
$339K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
46,997 |
2,857 |
$76K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,742 |
1,119 |
$59K |
| 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 |
2,591 |
678 |
$20K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,064 |
850 |
$15K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
158 |
131 |
$12K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
6,055 |
2,628 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
214 |
197 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
210 |
154 |
$1K |
| H0038 |
Self-help/peer services, per 15 minutes |
727 |
349 |
$541.25 |
| Q3014 |
Telehealth originating site facility fee |
28 |
26 |
$330.00 |
| 90791 |
Psychiatric diagnostic evaluation |
41 |
38 |
$100.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
29 |
26 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$0.00 |