| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
726,906 |
52,820 |
$22.33M |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
71,153 |
37,223 |
$7.92M |
| 90834 |
Psychotherapy, 45 minutes with patient |
40,977 |
23,942 |
$7.76M |
| 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) |
27,184 |
9,949 |
$5.67M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,986 |
23,898 |
$3.79M |
| 90832 |
Psychotherapy, 30 minutes with patient |
22,214 |
15,922 |
$3.31M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
21,474 |
2,946 |
$2.98M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
3,153 |
3,100 |
$2.81M |
| H2001 |
Rehabilitation program, per 1/2 day |
13,555 |
3,031 |
$1.47M |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
9,252 |
7,127 |
$1.35M |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
7,538 |
1,127 |
$1.32M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
14,987 |
3,750 |
$843K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
15,479 |
11,396 |
$829K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,305 |
2,294 |
$741K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,412 |
4,207 |
$668K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,872 |
3,470 |
$554K |
| 90791 |
Psychiatric diagnostic evaluation |
1,768 |
1,755 |
$546K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
5,887 |
1,980 |
$500K |
| H2010 |
Comprehensive medication services, per 15 minutes |
4,489 |
3,594 |
$475K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
3,045 |
451 |
$370K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
1,416 |
1,405 |
$284K |
| H2011 |
Crisis intervention service, per 15 minutes |
1,438 |
1,205 |
$272K |
| H0001 |
Alcohol and/or drug assessment |
1,541 |
1,442 |
$270K |
| 99386 |
|
1,935 |
1,922 |
$268K |
| 99215 |
Prolong outpt/office vis |
1,698 |
1,635 |
$258K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,521 |
1,471 |
$225K |
| 99201 |
|
2,380 |
1,902 |
$196K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,703 |
7,237 |
$161K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
689 |
686 |
$156K |
| H2018 |
Psychosocial rehabilitation services, per diem |
109 |
108 |
$43K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
603 |
597 |
$31K |
| 90882 |
|
447 |
306 |
$26K |
| H0038 |
Self-help/peer services, per 15 minutes |
538 |
414 |
$25K |
| H0049 |
Alcohol and/or drug screening |
380 |
377 |
$20K |
| 99205 |
Prolong outpt/office vis |
92 |
92 |
$16K |
| 99385 |
|
102 |
99 |
$13K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
71 |
71 |
$11K |
| H0034 |
Medication training and support, per 15 minutes |
340 |
286 |
$10K |
| 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 |
61 |
53 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
96 |
88 |
$1K |