| 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) |
397,064 |
113,660 |
$12.15M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
21,435 |
1,418 |
$4.30M |
| 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 |
25,302 |
7,725 |
$3.60M |
| 90837 |
Psychotherapy, 53 minutes with patient |
28,609 |
17,824 |
$2.67M |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
110,039 |
76,040 |
$1.40M |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
48,183 |
13,156 |
$1.30M |
| H0006 |
Alcohol and/or drug services; case management |
30,393 |
16,516 |
$1.11M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
28,478 |
17,206 |
$1.10M |
| 90832 |
Psychotherapy, 30 minutes with patient |
14,237 |
10,264 |
$713K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,569 |
7,105 |
$708K |
| 90834 |
Psychotherapy, 45 minutes with patient |
9,403 |
7,182 |
$605K |
| 90791 |
Psychiatric diagnostic evaluation |
5,430 |
4,855 |
$524K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
9,087 |
3,981 |
$347K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,787 |
2,483 |
$307K |
| J0571 |
Buprenorphine, oral, 1 mg |
46,267 |
9,807 |
$272K |
| H0038 |
Self-help/peer services, per 15 minutes |
6,216 |
2,533 |
$255K |
| S5000 |
Prescription drug, generic |
3,536 |
2,141 |
$212K |
| 99205 |
Prolong outpt/office vis |
380 |
332 |
$75K |
| 99215 |
Prolong outpt/office vis |
178 |
161 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
652 |
548 |
$27K |
| 82075 |
|
1,135 |
418 |
$21K |
| 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) |
868 |
352 |
$12K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
152 |
135 |
$4K |
| 90785 |
|
603 |
316 |
$4K |
| 93000 |
|
180 |
162 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
813 |
612 |
$1K |
| 86580 |
|
471 |
331 |
$591.96 |
| 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 |
139 |
67 |
$192.72 |
| 81025 |
|
15 |
13 |
$77.52 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
35 |
31 |
$19.25 |
| 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) |
87 |
87 |
$0.00 |