| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
39,629 |
3,221 |
$3.69M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
38,093 |
3,746 |
$352K |
| A0425 |
Ground mileage, per statute mile |
38,091 |
3,746 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
304 |
293 |
$25K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
31 |
30 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
37 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
39 |
$3K |
| 99201 |
|
34 |
34 |
$817.36 |