| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
38,503 |
6,501 |
$5.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,837 |
18,799 |
$3.51M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
102,632 |
8,285 |
$3.15M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
74,919 |
6,222 |
$1.54M |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
78,992 |
17,399 |
$1.08M |
| 90832 |
Psychotherapy, 30 minutes with patient |
10,995 |
6,138 |
$624K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
9,509 |
5,721 |
$500K |
| 80305 |
|
92,038 |
20,059 |
$438K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,320 |
2,150 |
$304K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,576 |
1,289 |
$290K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,883 |
2,127 |
$272K |
| 90838 |
|
1,265 |
498 |
$128K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,249 |
1,604 |
$88K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
667 |
600 |
$52K |
| 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) |
6,735 |
669 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
703 |
215 |
$19K |
| 93000 |
|
743 |
650 |
$11K |
| H0006 |
Alcohol and/or drug services; case management |
429 |
329 |
$9K |
| 90836 |
|
92 |
88 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
34 |
27 |
$3K |
| 82075 |
|
201 |
70 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
19 |
19 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
29 |
$430.47 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
306 |
178 |
$336.00 |
| 99000 |
|
4,155 |
1,750 |
$31.80 |
| 99072 |
|
5,599 |
752 |
$30.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
16 |
16 |
$25.05 |
| 96127 |
|
53 |
46 |
$3.76 |
| 99058 |
|
56 |
44 |
$0.00 |
| G0477 |
Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) capable of being read by direct optical observation only (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service |
145 |
117 |
$0.00 |