| 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) |
455,856 |
109,856 |
$33.27M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
141,427 |
87,114 |
$7.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,799 |
10,127 |
$1.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,914 |
14,740 |
$1.22M |
| H0001 |
Alcohol and/or drug assessment |
6,662 |
6,596 |
$1.11M |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
4,353 |
4,320 |
$1.02M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,622 |
12,739 |
$624K |
| 99215 |
Prolong outpt/office vis |
4,191 |
4,155 |
$613K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
11,717 |
3,414 |
$485K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
14,935 |
638 |
$167K |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
2,564 |
667 |
$166K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,646 |
6,128 |
$146K |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
6,955 |
329 |
$54K |
| 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) |
381 |
295 |
$51K |
| 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 |
89 |
74 |
$5K |
| 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 |
25 |
25 |
$2K |
| W9520 |
|
166 |
60 |
$2K |
| 90889 |
|
56 |
56 |
$0.00 |