| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0109 |
Methadone, oral, 5 mg |
27,430 |
1,468 |
$203K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
5,278 |
271 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
975 |
608 |
$110K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,684 |
898 |
$86K |
| G0480 |
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; 1-7 drug class(es), including metabolite(s) if performed |
315 |
297 |
$32K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,354 |
1,060 |
$27K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
481 |
387 |
$26K |
| T1017 |
Targeted case management, each 15 minutes |
757 |
561 |
$24K |
| 99215 |
Prolong outpt/office vis |
65 |
39 |
$10K |
| H2015 |
Comprehensive community support services, per 15 minutes |
474 |
268 |
$6K |
| 80305 |
|
326 |
311 |
$4K |
| J0571 |
Buprenorphine, oral, 1 mg |
211 |
13 |
$3K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
79 |
42 |
$596.63 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
20 |
20 |
$498.40 |