| 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) |
186,934 |
44,923 |
$14.38M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
76,814 |
40,741 |
$2.61M |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
20,509 |
5,130 |
$1.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,161 |
5,714 |
$679K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,259 |
4,321 |
$498K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
43,213 |
1,768 |
$491K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
1,059 |
1,039 |
$268K |
| H0001 |
Alcohol and/or drug assessment |
1,415 |
1,406 |
$258K |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
28,855 |
1,252 |
$244K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
5,374 |
2,968 |
$225K |
| J0571 |
Buprenorphine, oral, 1 mg |
78,929 |
2,440 |
$161K |
| 99215 |
Prolong outpt/office vis |
806 |
801 |
$118K |
| J0573 |
Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine |
4,944 |
254 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
622 |
619 |
$36K |
| W9520 |
|
1,548 |
134 |
$15K |
| 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) |
126 |
76 |
$13K |
| W1761 |
|
121 |
73 |
$10K |
| W1760 |
|
34 |
34 |
$2K |
| 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 |
17 |
17 |
$2K |