| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0033 |
Oral medication administration, direct observation |
517,826 |
49,898 |
$18.66M |
| J0575 |
Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine |
105,163 |
5,084 |
$6.70M |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
131,857 |
5,857 |
$6.26M |
| S0109 |
Methadone, oral, 5 mg |
1,126,983 |
46,582 |
$5.49M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
32,480 |
11,351 |
$1.56M |
| 90834 |
Psychotherapy, 45 minutes with patient |
18,340 |
12,475 |
$1.53M |
| 90837 |
Psychotherapy, 53 minutes with patient |
11,424 |
7,094 |
$993K |
| 90791 |
Psychiatric diagnostic evaluation |
7,205 |
6,777 |
$794K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,468 |
10,843 |
$671K |
| 90832 |
Psychotherapy, 30 minutes with patient |
15,158 |
11,735 |
$632K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31,833 |
20,404 |
$608K |
| 80305 |
|
36,171 |
30,374 |
$412K |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
46,424 |
2,112 |
$370K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,630 |
4,858 |
$358K |
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
170 |
157 |
$251K |
| J0573 |
Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine |
15,817 |
1,092 |
$234K |
| 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) |
5,343 |
1,726 |
$174K |
| Q9991 |
Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg |
122 |
110 |
$143K |
| 81000 |
|
13,383 |
10,671 |
$139K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
7,201 |
6,461 |
$109K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
456 |
427 |
$75K |
| 93000 |
|
2,014 |
1,870 |
$44K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,535 |
930 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
622 |
526 |
$28K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
534 |
403 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
898 |
772 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
3,561 |
3,173 |
$9K |
| 86580 |
|
1,181 |
967 |
$8K |
| 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 |
1,304 |
650 |
$3K |
| 81025 |
|
555 |
518 |
$3K |
| G2077 |
Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
285 |
149 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
31 |
27 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
316 |
292 |
$2K |
| 99201 |
|
66 |
61 |
$2K |
| 80306 |
|
27 |
27 |
$277.54 |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
3,994 |
322 |
$3.81 |