| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
3,947 |
1,241 |
$687K |
| S0109 |
Methadone, oral, 5 mg |
103,337 |
3,941 |
$549K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,336 |
3,626 |
$426K |
| T1016 |
Case management, each 15 minutes |
2,213 |
1,366 |
$49K |
| 80305 |
|
3,999 |
2,271 |
$41K |
| 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 |
242 |
212 |
$23K |
| 90832 |
Psychotherapy, 30 minutes with patient |
465 |
331 |
$19K |
| 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 |
544 |
395 |
$17K |
| 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) |
67 |
67 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
296 |
218 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
37 |
37 |
$4K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
78 |
60 |
$872.77 |
| 90863 |
|
32 |
27 |
$0.00 |