| 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) |
117,555 |
26,522 |
$9.68M |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
36,319 |
3,624 |
$3.96M |
| 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) |
29,215 |
8,239 |
$2.40M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,448 |
1,445 |
$567K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,759 |
4,191 |
$203K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
2,388 |
216 |
$187K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,773 |
330 |
$158K |
| H0033 |
Oral medication administration, direct observation |
680 |
175 |
$129K |
| G2076 |
Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
268 |
266 |
$119K |
| 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 |
2,290 |
1,137 |
$35K |
| 90836 |
|
390 |
237 |
$35K |
| T2022 |
Case management, per month |
658 |
224 |
$16K |
| 99215 |
Prolong outpt/office vis |
71 |
71 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
17 |
17 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
815 |
800 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
45 |
$1K |