| 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) |
2,317,694 |
94,509 |
$7.87M |
| 90837 |
Psychotherapy, 53 minutes with patient |
73,284 |
43,329 |
$2.84M |
| 90834 |
Psychotherapy, 45 minutes with patient |
57,175 |
29,967 |
$1.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,509 |
18,556 |
$726K |
| 90832 |
Psychotherapy, 30 minutes with patient |
33,525 |
21,797 |
$699K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,046 |
12,769 |
$655K |
| J0575 |
Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine |
93,749 |
4,221 |
$554K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
120,630 |
68,527 |
$353K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
50,616 |
16,656 |
$337K |
| 90791 |
Psychiatric diagnostic evaluation |
8,083 |
7,007 |
$332K |
| 99215 |
Prolong outpt/office vis |
3,421 |
3,018 |
$241K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,189 |
7,949 |
$172K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,466 |
3,857 |
$154K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
36,913 |
1,877 |
$124K |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
424 |
414 |
$119K |
| H0038 |
Self-help/peer services, per 15 minutes |
12,841 |
6,595 |
$106K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,768 |
1,642 |
$60K |
| Q3014 |
Telehealth originating site facility fee |
8,500 |
7,465 |
$59K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,477 |
866 |
$57K |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
47,105 |
2,746 |
$53K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
813 |
775 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
466 |
385 |
$29K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,080 |
1,332 |
$26K |
| J0573 |
Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine |
4,939 |
372 |
$24K |
| 99385 |
|
617 |
594 |
$22K |
| H0001 |
Alcohol and/or drug assessment |
264 |
239 |
$19K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
162 |
12 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
600 |
499 |
$14K |
| 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 |
191 |
40 |
$14K |
| 99386 |
|
213 |
205 |
$11K |
| 90838 |
|
179 |
136 |
$6K |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
1,177 |
52 |
$3K |
| 90836 |
|
179 |
136 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
179 |
136 |
$1K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
634 |
431 |
$782.45 |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
76 |
37 |
$626.44 |
| 99201 |
|
30 |
27 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$0.00 |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
73 |
29 |
$0.00 |