| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
26,996 |
16,068 |
$3.38M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
129,638 |
9,823 |
$3.13M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
16,712 |
902 |
$2.93M |
| 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) |
14,072 |
6,361 |
$2.79M |
| 90832 |
Psychotherapy, 30 minutes with patient |
29,345 |
17,656 |
$2.74M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
29,911 |
5,607 |
$1.48M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,289 |
6,433 |
$881K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,393 |
5,487 |
$717K |
| H0001 |
Alcohol and/or drug assessment |
4,167 |
3,098 |
$715K |
| H0033 |
Oral medication administration, direct observation |
16,870 |
1,088 |
$396K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
7,948 |
6,477 |
$342K |
| H0038 |
Self-help/peer services, per 15 minutes |
8,838 |
3,727 |
$330K |
| J0592 |
Injection, buprenorphine hydrochloride, 0.1 mg |
10,966 |
607 |
$131K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
6,751 |
327 |
$79K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
610 |
607 |
$76K |
| G2068 |
Medication assisted treatment, buprenorphine (oral); 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) |
285 |
117 |
$74K |
| 99205 |
Prolong outpt/office vis |
410 |
408 |
$50K |
| 99215 |
Prolong outpt/office vis |
405 |
334 |
$44K |
| 90791 |
Psychiatric diagnostic evaluation |
115 |
108 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
215 |
203 |
$24K |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
3,225 |
183 |
$23K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
478 |
392 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
884 |
830 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
529 |
346 |
$11K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
87 |
37 |
$10K |
| 90882 |
|
110 |
93 |
$5K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
80 |
47 |
$5K |
| 93000 |
|
51 |
47 |
$2K |
| 99201 |
|
18 |
18 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 86580 |
|
48 |
48 |
$241.10 |