| 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) |
77,610 |
18,675 |
$6.67M |
| 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) |
40,817 |
11,909 |
$3.91M |
| H0033 |
Oral medication administration, direct observation |
3,393 |
862 |
$640K |
| 90791 |
Psychiatric diagnostic evaluation |
1,620 |
1,597 |
$266K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
655 |
653 |
$248K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
11,029 |
4,019 |
$180K |
| 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 |
5,859 |
3,404 |
$172K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
28,879 |
17,990 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
996 |
945 |
$50K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
7,455 |
4,627 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
479 |
438 |
$33K |
| 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 |
81 |
76 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
522 |
496 |
$16K |
| 90834 |
Psychotherapy, 45 minutes with patient |
99 |
61 |
$9K |
| G2068 |
Medication assisted treatment, buprenorphine (oral); 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) |
44 |
12 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
28 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
546 |
540 |
$982.80 |