| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
85,161 |
19,233 |
$12.10M |
| T1003 |
Lpn/lvn services, up to 15 minutes |
44,782 |
22,773 |
$1.88M |
| T1002 |
Rn services, up to 15 minutes |
42,146 |
5,987 |
$1.74M |
| H0006 |
Alcohol and/or drug services; case management |
11,427 |
4,945 |
$907K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
56,810 |
2,847 |
$877K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,413 |
6,532 |
$745K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,312 |
3,530 |
$556K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
11,209 |
5,199 |
$487K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
31,543 |
17,677 |
$442K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,745 |
3,833 |
$277K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,052 |
1,704 |
$242K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
1,019 |
239 |
$237K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,858 |
2,170 |
$178K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,206 |
1,765 |
$101K |
| 90791 |
Psychiatric diagnostic evaluation |
993 |
972 |
$97K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
727 |
634 |
$79K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
969 |
820 |
$48K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
905 |
294 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
122 |
83 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
66 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
200 |
95 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
38 |
$3K |