| 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) |
988,417 |
34,866 |
$10.94M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
27,502 |
14,415 |
$1.93M |
| 90837 |
Psychotherapy, 53 minutes with patient |
13,225 |
8,739 |
$1.51M |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
9,008 |
3,950 |
$1.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,740 |
11,699 |
$1.02M |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,216 |
6,647 |
$596K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,691 |
3,805 |
$437K |
| H0001 |
Alcohol and/or drug assessment |
2,430 |
2,429 |
$368K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
2,455 |
2,439 |
$302K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,558 |
3,548 |
$251K |
| 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) |
5,095 |
1,312 |
$234K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,370 |
1,449 |
$172K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
2,357 |
1,175 |
$120K |
| H0006 |
Alcohol and/or drug services; case management |
2,413 |
1,840 |
$101K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
565 |
565 |
$53K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
406 |
178 |
$16K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
353 |
353 |
$16K |
| H0038 |
Self-help/peer services, per 15 minutes |
123 |
56 |
$11K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
296 |
118 |
$7K |
| 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 |
196 |
100 |
$3K |