| 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) |
951,632 |
55,338 |
$12.20M |
| 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) |
58,502 |
15,561 |
$7.36M |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
23,520 |
20,249 |
$4.15M |
| H2015 |
Comprehensive community support services, per 15 minutes |
31,606 |
13,959 |
$3.75M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
20,253 |
12,393 |
$2.42M |
| H2016 |
Comprehensive community support services, per diem |
4,225 |
3,809 |
$1.66M |
| 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 |
12,191 |
1,971 |
$1.49M |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
868 |
787 |
$1.36M |
| 90834 |
|
12,465 |
9,219 |
$971K |
| 90832 |
|
16,045 |
14,628 |
$636K |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
284 |
217 |
$544K |
| 90791 |
|
4,101 |
4,086 |
$460K |
| 99213 |
|
9,650 |
9,165 |
$283K |
| 90853 |
|
10,090 |
4,462 |
$277K |
| 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 |
11,042 |
5,594 |
$226K |
| G2074 |
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
1,440 |
1,172 |
$157K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,970 |
3,308 |
$156K |
| 90837 |
|
1,342 |
1,015 |
$116K |
| G0469 |
Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
577 |
515 |
$99K |
| 90792 |
|
381 |
377 |
$32K |
| 99214 |
|
359 |
336 |
$17K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
688 |
267 |
$17K |
| G2076 |
Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
228 |
212 |
$10K |
| 99212 |
|
870 |
819 |
$8K |
| 99202 |
|
110 |
110 |
$6K |
| 99404 |
|
38 |
38 |
$6K |
| 98967 |
|
42 |
42 |
$742.10 |
| 98966 |
|
12 |
12 |
$118.56 |