| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
96,960 |
8,129 |
$8.31M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
63,072 |
5,247 |
$555K |
| A0425 |
Ground mileage, per statute mile |
62,999 |
5,270 |
$309K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,954 |
2,619 |
$198K |
| 99215 |
Prolong outpt/office vis |
498 |
442 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
665 |
593 |
$26K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
50 |
50 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
463 |
367 |
$7K |