| 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) |
1,157,723 |
115,668 |
$24.24M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
88,328 |
66,728 |
$5.00M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,042 |
29,707 |
$2.62M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
27,750 |
17,447 |
$1.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,755 |
6,602 |
$653K |
| 99215 |
Prolong outpt/office vis |
3,972 |
3,154 |
$512K |
| J0574 |
Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine |
39,252 |
2,964 |
$200K |
| 96153 |
|
14,908 |
4,756 |
$200K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,527 |
1,442 |
$196K |
| H0001 |
Alcohol and/or drug assessment |
1,421 |
1,403 |
$89K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
534 |
502 |
$42K |
| 96165 |
|
1,596 |
571 |
$26K |
| 99205 |
Prolong outpt/office vis |
136 |
130 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,103 |
1,994 |
$20K |
| 96164 |
|
1,734 |
598 |
$17K |
| J0572 |
Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine |
8,706 |
691 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,011 |
971 |
$15K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
235 |
197 |
$14K |
| 99354 |
|
174 |
136 |
$12K |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
3,552 |
2,269 |
$10K |
| 86580 |
|
1,539 |
1,467 |
$9K |
| 96127 |
|
1,788 |
1,620 |
$7K |
| T1016 |
Case management, each 15 minutes |
353 |
252 |
$7K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
510 |
256 |
$7K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
227 |
146 |
$6K |
| 93000 |
|
690 |
665 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,082 |
995 |
$4K |
| H0046 |
Mental health services, not otherwise specified |
1,290 |
1,270 |
$4K |
| 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) |
63 |
40 |
$3K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
216 |
92 |
$2K |
| 81025 |
|
176 |
165 |
$1K |
| 90756 |
|
19 |
17 |
$319.92 |
| 90785 |
|
46 |
29 |
$167.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
18 |
$130.26 |
| H0038 |
Self-help/peer services, per 15 minutes |
28 |
15 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
20 |
20 |
$0.00 |