| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
49,099 |
4,000 |
$3.84M |
| 90834 |
Psychotherapy, 45 minutes with patient |
15,180 |
9,815 |
$1.31M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,912 |
13,349 |
$1.24M |
| H0046 |
Mental health services, not otherwise specified |
2,123 |
2,123 |
$487K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,872 |
4,624 |
$314K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
31,796 |
2,184 |
$284K |
| 90791 |
Psychiatric diagnostic evaluation |
1,630 |
1,624 |
$249K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
597 |
585 |
$202K |
| A0425 |
Ground mileage, per statute mile |
32,038 |
2,204 |
$156K |
| 99215 |
Prolong outpt/office vis |
1,037 |
1,028 |
$119K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,795 |
1,587 |
$17K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
649 |
270 |
$14K |