| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
100,568 |
7,616 |
$8.69M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
68,916 |
5,323 |
$610K |
| A0425 |
Ground mileage, per statute mile |
69,247 |
5,347 |
$337K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
44 |
44 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
52 |
$7K |
| H2015 |
Comprehensive community support services, per 15 minutes |
101 |
28 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85 |
84 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
438 |
373 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
58 |
25 |
$5K |