| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2010 |
Comprehensive medication services, per 15 minutes |
73,387 |
6,324 |
$602K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,704 |
5,106 |
$428K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,580 |
1,155 |
$180K |
| T1016 |
Case management, each 15 minutes |
4,969 |
2,533 |
$109K |
| 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 |
1,145 |
336 |
$101K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
42,931 |
5,468 |
$91K |
| H0031 |
Mental health assessment, by non-physician |
682 |
639 |
$80K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,660 |
724 |
$36K |
| 99205 |
Prolong outpt/office vis |
324 |
283 |
$26K |
| 99215 |
Prolong outpt/office vis |
411 |
341 |
$25K |
| 80305 |
|
4,589 |
2,384 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
300 |
191 |
$12K |
| J0575 |
Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine |
4,025 |
407 |
$5K |
| 93000 |
|
859 |
584 |
$4K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
243 |
165 |
$3K |
| 81025 |
|
820 |
474 |
$3K |
| 82075 |
|
100 |
34 |
$2K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
194 |
165 |
$2K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
463 |
104 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17 |
17 |
$1K |
| 99000 |
|
1,251 |
649 |
$978.39 |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
193 |
130 |
$516.33 |
| H2011 |
Crisis intervention service, per 15 minutes |
20 |
13 |
$437.73 |
| 93041 |
|
171 |
141 |
$413.87 |
| H0034 |
Medication training and support, per 15 minutes |
24 |
19 |
$81.94 |
| S0109 |
Methadone, oral, 5 mg |
13,178 |
1,026 |
$0.01 |
| G0434 |
Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter |
56 |
28 |
$0.00 |