| 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) |
78,885 |
19,157 |
$6.03M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
22,627 |
12,703 |
$968K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,166 |
8,233 |
$774K |
| W1761 |
|
5,330 |
5,221 |
$639K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,113 |
2,627 |
$368K |
| H0001 |
Alcohol and/or drug assessment |
1,943 |
1,941 |
$336K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,109 |
2,009 |
$106K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
401 |
401 |
$91K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
1,714 |
971 |
$73K |
| W1760 |
|
304 |
299 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,182 |
1,103 |
$27K |
| 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) |
146 |
50 |
$7K |
| W9520 |
|
157 |
154 |
$2K |
| G2077 |
Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
16 |
14 |
$522.05 |