| 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) |
1,371,353 |
50,193 |
$12.53M |
| 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) |
19,341 |
5,274 |
$2.19M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
5,682 |
4,211 |
$368K |
| 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 |
3,427 |
1,650 |
$120K |
| H0001 |
Alcohol and/or drug assessment |
756 |
627 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
781 |
715 |
$48K |
| G2074 |
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
298 |
215 |
$20K |
| G2077 |
Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
418 |
312 |
$15K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
484 |
395 |
$12K |
| 99215 |
Prolong outpt/office vis |
134 |
119 |
$12K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
943 |
797 |
$8K |
| 99205 |
Prolong outpt/office vis |
49 |
44 |
$6K |
| H0033 |
Oral medication administration, direct observation |
213 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
276 |
223 |
$1K |
| 86580 |
|
207 |
174 |
$627.80 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$0.00 |