| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
43,981 |
10,131 |
$6.62M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
249,681 |
9,728 |
$3.68M |
| 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 |
13,040 |
4,920 |
$382K |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
666 |
156 |
$292K |
| 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 |
2,355 |
398 |
$193K |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
497 |
74 |
$189K |
| 90791 |
Psychiatric diagnostic evaluation |
324 |
324 |
$44K |
| 90832 |
Psychotherapy, 30 minutes with patient |
488 |
357 |
$24K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
243 |
131 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
177 |
160 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
117 |
102 |
$11K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,393 |
439 |
$6K |
| 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 |
229 |
226 |
$6K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
84 |
64 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
37 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
151 |
151 |
$1K |
| G2080 |
Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
23 |
13 |
$535.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
71 |
70 |
$533.79 |
| 99442 |
|
14 |
12 |
$274.82 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19 |
12 |
$151.58 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$98.84 |
| 99221 |
|
12 |
12 |
$98.63 |