| 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) |
107,256 |
6,760 |
$2.89M |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,878 |
5,754 |
$2.15M |
| 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) |
10,820 |
3,047 |
$1.90M |
| 90791 |
Psychiatric diagnostic evaluation |
1,726 |
1,553 |
$1.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,619 |
6,074 |
$1.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,349 |
3,050 |
$752K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
6,799 |
4,197 |
$624K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
1,542 |
1,137 |
$476K |
| S9485 |
Crisis intervention mental health services, per diem |
178 |
162 |
$240K |
| 90834 |
Psychotherapy, 45 minutes with patient |
399 |
337 |
$158K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
393 |
391 |
$148K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
698 |
628 |
$52K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,868 |
1,264 |
$46K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
389 |
318 |
$40K |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
598 |
585 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,695 |
1,606 |
$22K |
| 99215 |
Prolong outpt/office vis |
168 |
159 |
$19K |
| 90839 |
|
36 |
36 |
$14K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
673 |
658 |
$14K |
| 80053 |
Comprehensive metabolic panel |
940 |
923 |
$12K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
50 |
28 |
$10K |
| 80061 |
Lipid panel |
1,138 |
1,124 |
$9K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
135 |
40 |
$8K |
| 99051 |
|
196 |
144 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
53 |
53 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
996 |
960 |
$257.76 |
| 83655 |
|
35 |
34 |
$75.00 |
| 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 |
49 |
21 |
$65.78 |
| 84439 |
|
720 |
711 |
$50.96 |
| J1631 |
Injection, haloperidol decanoate, per 50 mg |
451 |
439 |
$41.78 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,131 |
1,113 |
$36.61 |
| 81025 |
|
122 |
121 |
$19.14 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
376 |
363 |
$0.00 |
| 84702 |
|
51 |
48 |
$0.00 |
| 80164 |
|
202 |
200 |
$0.00 |
| 80076 |
|
15 |
14 |
$0.00 |
| 82746 |
|
591 |
580 |
$0.00 |
| 82607 |
|
620 |
608 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
298 |
294 |
$0.00 |
| 80178 |
|
113 |
113 |
$0.00 |
| 80320 |
|
396 |
383 |
$0.00 |
| 84480 |
|
108 |
108 |
$0.00 |
| 86592 |
|
611 |
594 |
$0.00 |
| J3490 |
Unclassified drugs |
202 |
64 |
$0.00 |
| 84436 |
|
92 |
92 |
$0.00 |
| J0401 |
Injection, aripiprazole (abilify maintena), 1 mg |
264 |
257 |
$0.00 |
| 86803 |
|
28 |
28 |
$0.00 |
| 82550 |
|
17 |
16 |
$0.00 |