| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
56,233 |
8,697 |
$4.51M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
48,503 |
6,627 |
$432K |
| A0425 |
Ground mileage, per statute mile |
48,463 |
6,619 |
$239K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,046 |
987 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,769 |
1,646 |
$82K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
53 |
53 |
$19K |
| 90791 |
Psychiatric diagnostic evaluation |
81 |
81 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
730 |
617 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
60 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
50 |
$374.08 |