| Code | Description | Claims | Beneficiaries | Total Paid |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
101,293 |
7,192 |
$8.94M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
52,528 |
3,742 |
$472K |
| A0425 |
Ground mileage, per statute mile |
74,948 |
5,795 |
$376K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,306 |
2,164 |
$132K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$4K |