| 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) |
1,154,994 |
48,116 |
$16.06M |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
64,587 |
29,779 |
$2.24M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
31,532 |
21,336 |
$1.78M |
| H0001 |
Alcohol and/or drug assessment |
6,905 |
5,950 |
$680K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,420 |
3,672 |
$430K |
| 82075 |
|
19,199 |
2,492 |
$289K |
| H0006 |
Alcohol and/or drug services; case management |
14,153 |
9,138 |
$288K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,849 |
2,841 |
$255K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
5,784 |
3,142 |
$167K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,656 |
2,046 |
$144K |
| H2027 |
Psychoeducational service, per 15 minutes |
2,976 |
1,666 |
$82K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
3,506 |
2,986 |
$69K |
| 90834 |
Psychotherapy, 45 minutes with patient |
957 |
784 |
$65K |
| H0033 |
Oral medication administration, direct observation |
3,631 |
520 |
$49K |
| 80305 |
|
9,110 |
2,376 |
$40K |
| H0034 |
Medication training and support, per 15 minutes |
2,181 |
1,755 |
$40K |
| 99205 |
Prolong outpt/office vis |
471 |
284 |
$39K |
| 99215 |
Prolong outpt/office vis |
578 |
345 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
330 |
268 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
510 |
194 |
$10K |
| H0038 |
Self-help/peer services, per 15 minutes |
318 |
242 |
$9K |
| J0575 |
Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine |
877 |
54 |
$6K |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
24 |
24 |
$4K |
| 99408 |
|
138 |
88 |
$2K |
| 86580 |
|
246 |
211 |
$1K |
| 99354 |
|
27 |
16 |
$1K |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
1,295 |
101 |
$594.85 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
24 |
24 |
$396.00 |
| 81025 |
|
48 |
41 |
$285.10 |
| 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) |
77 |
53 |
$209.38 |
| J0571 |
Buprenorphine, oral, 1 mg |
492 |
41 |
$0.00 |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
376 |
25 |
$0.00 |
| J0573 |
Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine |
33 |
12 |
$0.00 |