| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
136,192 |
11,192 |
$12.07M |
| H0046 |
Mental health services, not otherwise specified |
2,446 |
2,439 |
$848K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
63,989 |
6,603 |
$580K |
| A0425 |
Ground mileage, per statute mile |
64,118 |
6,608 |
$321K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,715 |
1,610 |
$75K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
194 |
194 |
$72K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,845 |
1,667 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
94 |
94 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
113 |
110 |
$2K |