| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,760 |
13,760 |
$11.70M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
544,977 |
23,201 |
$72K |
| G9012 |
Other specified case management service not elsewhere classified |
239 |
232 |
$64K |
| S0109 |
Methadone, oral, 5 mg |
3,056 |
133 |
$13K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
925 |
482 |
$3K |
| 80305 |
|
155 |
86 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
32,981 |
17,069 |
$1K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
26 |
12 |
$888.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,727 |
2,947 |
$34.75 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,381 |
1,367 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
248 |
219 |
$0.00 |
| H0034 |
Medication training and support, per 15 minutes |
1,319 |
1,100 |
$0.00 |
| 99201 |
|
53 |
53 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
829 |
698 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,383 |
1,350 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
949 |
550 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
53 |
$0.00 |