| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
6,103 |
3,633 |
$1.58M |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
6,259 |
3,823 |
$1.38M |
| 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 |
8,338 |
2,832 |
$1.10M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
11,065 |
2,629 |
$1.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,854 |
4,465 |
$763K |
| 90832 |
Psychotherapy, 30 minutes with patient |
9,927 |
6,123 |
$495K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
12,757 |
8,021 |
$169K |
| 99215 |
Prolong outpt/office vis |
1,185 |
652 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,220 |
852 |
$90K |
| T1002 |
Rn services, up to 15 minutes |
1,333 |
1,056 |
$77K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,223 |
940 |
$75K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
1,407 |
686 |
$56K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,565 |
1,056 |
$33K |
| 90791 |
Psychiatric diagnostic evaluation |
284 |
274 |
$30K |
| 90837 |
Psychotherapy, 53 minutes with patient |
242 |
173 |
$23K |
| 99205 |
Prolong outpt/office vis |
55 |
55 |
$11K |
| J0573 |
Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine |
172 |
96 |
$8K |
| H0006 |
Alcohol and/or drug services; case management |
283 |
250 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$5K |
| J0575 |
Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine |
33 |
30 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$2K |
| S0109 |
Methadone, oral, 5 mg |
89 |
22 |
$0.00 |