| 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) |
85,376 |
21,262 |
$6.46M |
| W1761 |
|
14,310 |
14,025 |
$1.69M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
20,969 |
12,795 |
$913K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,511 |
7,706 |
$703K |
| H0001 |
Alcohol and/or drug assessment |
2,319 |
2,317 |
$409K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,038 |
2,599 |
$334K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
1,072 |
1,072 |
$272K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
3,567 |
827 |
$150K |
| W1760 |
|
980 |
955 |
$113K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,554 |
1,365 |
$69K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,971 |
1,825 |
$46K |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
133 |
37 |
$8K |
| 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) |
140 |
50 |
$7K |
| 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 |
19 |
18 |
$1K |