| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
38,227 |
2,871 |
$3.31M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,014 |
2,916 |
$278K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,043 |
2,963 |
$188K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
19,914 |
1,613 |
$169K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,499 |
754 |
$134K |
| A0425 |
Ground mileage, per statute mile |
19,870 |
1,604 |
$94K |
| 99215 |
Prolong outpt/office vis |
273 |
266 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
572 |
557 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,082 |
968 |
$12K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
28 |
28 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
139 |
98 |
$9K |