| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
7,271 |
842 |
$553K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
6,534 |
786 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
513 |
488 |
$32K |
| A0425 |
Ground mileage, per statute mile |
6,533 |
785 |
$30K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
83 |
83 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
181 |
126 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$642.12 |