Addiction Counselors
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| 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 treatm | 28,189 |
| Psychotherapy, 1 hour | 9,621 |
| Psychotherapy, 45 minutes | 5,443 |
| 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 | 2,596 |
| Psychotherapy, 30 minutes | 2,144 |
| 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) | 721 |
| Psychiatric diagnostic evaluation | 637 |
| Psychiatric services complicated by communication factor | 613 |
| Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for | 394 |
| Established patient office or other outpatient visit, 30-39 minutes | 263 |
| Psychotherapy with evaluation and management visit, 30 minutes | 254 |
| Telehealth originating site facility fee | 189 |
| Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 187 |
| Group psychotherapy | 118 |
| Psychotherapy with evaluation and management visit, 45 minutes | 91 |
| Established patient office or other outpatient visit, 20-29 minutes | 84 |
| Administration of psychological or neuropsychological test, each additional 30 minutes | 65 |
| Evaluation of neuropsychological test, each additional hour | 50 |
| Intake activities, including initial medical examination that is a complete, fully documented physical evaluation and initial assessment by a program physician or a primary care physician, or an authorized healthcare professional under the supervision of a | 48 |
| Evaluation of psychological test, first hour | 23 |
| Administration of psychological or neuropsychological test, first 30 minutes | 14 |
| Evaluation of neuropsychological test, first hour | 14 |
| Psychiatric diagnostic evaluation with medical services | 12 |
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Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).