| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
28,059 |
2,441 |
$2.51M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
16,402 |
1,444 |
$148K |
| A0425 |
Ground mileage, per statute mile |
16,387 |
1,442 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
736 |
497 |
$80K |
| 90834 |
Psychotherapy, 45 minutes with patient |
202 |
77 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
24 |
$2K |