| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
89,214 |
5,286 |
$7.85M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
68,043 |
4,287 |
$621K |
| A0425 |
Ground mileage, per statute mile |
67,978 |
4,288 |
$342K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
862 |
698 |
$20K |
| 99215 |
Prolong outpt/office vis |
120 |
117 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82 |
81 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
242 |
221 |
$4K |