| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0109 |
Methadone, oral, 5 mg |
209,765 |
7,108 |
$1.34M |
| 90837 |
Psychotherapy, 53 minutes with patient |
11,684 |
6,393 |
$838K |
| 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) |
4,088 |
1,218 |
$713K |
| 80305 |
|
3,780 |
3,246 |
$51K |
| 90832 |
Psychotherapy, 30 minutes with patient |
867 |
608 |
$36K |
| 90791 |
Psychiatric diagnostic evaluation |
232 |
231 |
$22K |
| 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 |
172 |
144 |
$16K |
| 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 |
559 |
367 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
593 |
554 |
$11K |
| T1016 |
Case management, each 15 minutes |
278 |
191 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
86 |
80 |
$6K |
| G2074 |
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
39 |
39 |
$4K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
123 |
110 |
$2K |