| 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) |
373,509 |
89,817 |
$28.55M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
108,279 |
91,886 |
$9.38M |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
412,631 |
15,392 |
$8.30M |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
68,763 |
17,015 |
$4.62M |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
176,301 |
7,446 |
$2.29M |
| H0001 |
Alcohol and/or drug assessment |
10,448 |
10,369 |
$1.84M |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
3,476 |
3,452 |
$847K |
| J0573 |
Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine |
9,900 |
340 |
$214K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,869 |
1,547 |
$140K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,130 |
2,728 |
$68K |
| 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) |
580 |
260 |
$38K |
| 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 |
237 |
153 |
$3K |