| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
77,147 |
7,255 |
$6.85M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
39,689 |
4,199 |
$360K |
| A0425 |
Ground mileage, per statute mile |
39,795 |
4,212 |
$201K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,311 |
1,154 |
$77K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
148 |
148 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
930 |
873 |
$56K |
| 99215 |
Prolong outpt/office vis |
65 |
62 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
159 |
149 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
60 |
$1K |