| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
213,231 |
16,439 |
$18.01M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
116,786 |
8,915 |
$986K |
| A0425 |
Ground mileage, per statute mile |
116,074 |
8,907 |
$551K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,248 |
1,130 |
$86K |
| 90791 |
Psychiatric diagnostic evaluation |
534 |
529 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
872 |
827 |
$40K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
472 |
446 |
$5K |