| 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) |
134,284 |
4,809 |
$2.12M |
| 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) |
7,473 |
1,585 |
$1.34M |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,346 |
560 |
$115K |
| 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 |
221 |
120 |
$15K |
| H0038 |
Self-help/peer services, per 15 minutes |
803 |
397 |
$14K |
| 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 |
171 |
49 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
61 |
15 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
38 |
30 |
$2K |
| 86580 |
|
237 |
139 |
$393.53 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$258.72 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
60 |
52 |
$257.76 |