| Code | Description | Claims | Beneficiaries | Total Paid |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
101,765 |
7,118 |
$8.81M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
70,235 |
5,601 |
$642K |
| A0425 |
Ground mileage, per statute mile |
70,268 |
5,606 |
$352K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
176 |
171 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
960 |
871 |
$58K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
713 |
667 |
$11K |