| 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) |
57,439 |
13,735 |
$4.94M |
| 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) |
32,514 |
8,805 |
$3.42M |
| 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 |
6,555 |
1,184 |
$721K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,730 |
5,368 |
$637K |
| 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 |
11,071 |
4,550 |
$357K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,054 |
2,905 |
$319K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,306 |
2,572 |
$266K |
| 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 |
554 |
547 |
$244K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,463 |
1,679 |
$241K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,692 |
1,414 |
$235K |
| 99215 |
Prolong outpt/office vis |
968 |
961 |
$146K |
| 90791 |
Psychiatric diagnostic evaluation |
806 |
801 |
$143K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,879 |
2,852 |
$118K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
215 |
215 |
$89K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,213 |
666 |
$61K |
| H0038 |
Self-help/peer services, per 15 minutes |
615 |
514 |
$15K |
| 90836 |
|
134 |
133 |
$11K |
| 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) |
57 |
44 |
$5K |
| 86580 |
|
209 |
185 |
$836.00 |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
125 |
41 |
$528.30 |