| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
251,571 |
15,337 |
$22.32M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
166,243 |
12,957 |
$1.48M |
| A0425 |
Ground mileage, per statute mile |
166,309 |
12,965 |
$816K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,938 |
4,914 |
$401K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
209 |
209 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,454 |
1,127 |
$61K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,628 |
2,039 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
18 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$2K |