| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0109 |
Methadone, oral, 5 mg |
70,252 |
4,416 |
$5.07M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
25,434 |
8,878 |
$1.30M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12,145 |
2,593 |
$237K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,285 |
549 |
$160K |
| T1017 |
Targeted case management, each 15 minutes |
2,159 |
1,583 |
$113K |
| H0032 |
Mental health service plan development by non-physician |
271 |
259 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
269 |
248 |
$16K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$4K |
| 99368 |
|
38 |
36 |
$1K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
101 |
70 |
$1K |
| 86580 |
|
105 |
103 |
$735.05 |