| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
137,983 |
8,056 |
$11.73M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
39,305 |
2,898 |
$358K |
| A0425 |
Ground mileage, per statute mile |
39,287 |
2,897 |
$199K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,301 |
1,180 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
122 |
119 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
13 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
43 |
40 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$1K |