| 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) |
591,770 |
20,168 |
$8.05M |
| 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) |
29,318 |
6,231 |
$5.43M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56,163 |
48,951 |
$3.53M |
| 90834 |
Psychotherapy, 45 minutes with patient |
78,630 |
47,665 |
$3.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,325 |
31,529 |
$1.27M |
| H2011 |
Crisis intervention service, per 15 minutes |
4,946 |
4,220 |
$595K |
| 90791 |
Psychiatric diagnostic evaluation |
7,963 |
7,001 |
$558K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,629 |
3,135 |
$323K |
| 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 |
8,991 |
2,942 |
$294K |
| 90832 |
Psychotherapy, 30 minutes with patient |
9,349 |
6,095 |
$263K |
| 80305 |
|
26,532 |
21,374 |
$241K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,971 |
1,388 |
$105K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
8,951 |
3,417 |
$104K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,676 |
1,124 |
$88K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,136 |
980 |
$75K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,481 |
628 |
$52K |
| 99215 |
Prolong outpt/office vis |
481 |
412 |
$43K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,350 |
4,036 |
$34K |
| H2014 |
Skills training and development, per 15 minutes |
953 |
269 |
$32K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
638 |
542 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
430 |
389 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,914 |
3,264 |
$29K |
| 90837 |
Psychotherapy, 53 minutes with patient |
320 |
244 |
$22K |
| 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 |
433 |
128 |
$19K |
| 99443 |
|
796 |
771 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
146 |
130 |
$13K |
| 96130 |
|
110 |
93 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
107 |
83 |
$7K |
| T1016 |
Case management, each 15 minutes |
295 |
185 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
270 |
211 |
$5K |
| 96101 |
|
26 |
25 |
$4K |
| 83037 |
|
804 |
736 |
$4K |
| 96131 |
|
45 |
38 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
156 |
124 |
$4K |
| 99205 |
Prolong outpt/office vis |
30 |
26 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
436 |
410 |
$2K |
| 96136 |
|
94 |
82 |
$2K |
| 83721 |
|
344 |
316 |
$2K |
| 96137 |
|
33 |
26 |
$988.76 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
27 |
$969.51 |
| Q3014 |
Telehealth originating site facility fee |
150 |
123 |
$810.36 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
49 |
21 |
$429.75 |
| 36416 |
|
126 |
53 |
$343.59 |
| 81025 |
|
59 |
55 |
$322.03 |
| H0031 |
Mental health assessment, by non-physician |
50 |
45 |
$310.88 |
| 90899 |
|
402 |
43 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
66 |
58 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
490 |
378 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
14 |
$0.00 |