| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
115,100 |
8,178 |
$10.19M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
69,987 |
6,386 |
$628K |
| A0425 |
Ground mileage, per statute mile |
70,112 |
6,384 |
$343K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,249 |
2,081 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
577 |
540 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
314 |
290 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
46 |
43 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
40 |
$4K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
443 |
107 |
$842.57 |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
40 |
25 |
$87.50 |