| Code | Description | Claims | Beneficiaries | Total Paid |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
8,465 |
896 |
$649K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,574 |
2,564 |
$319K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
384 |
384 |
$102K |
| 99215 |
Prolong outpt/office vis |
575 |
567 |
$75K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
8,464 |
904 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
692 |
680 |
$68K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,009 |
995 |
$62K |
| A0425 |
Ground mileage, per statute mile |
8,465 |
905 |
$41K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
390 |
318 |
$41K |
| 90791 |
Psychiatric diagnostic evaluation |
249 |
249 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
72 |
$5K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
168 |
83 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
14 |
$905.18 |