| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
22,691 |
2,778 |
$2.00M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
10,549 |
1,202 |
$93K |
| A0425 |
Ground mileage, per statute mile |
10,592 |
1,249 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
531 |
470 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
262 |
226 |
$16K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
25 |
24 |
$8K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |