| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 14 | 170 | 21,080 | $100 | $4.2M |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,419 | 4,450 | 740 | $40 | $229.8K |
| A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | 10 | 230 | 7,800 | $10 | $218.8K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 3,259 | 3,790 | 580 | $60 | $204K |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 420 | 550 | 280 | $120 | $131.8K |
| A0425 | Ground mileage, per statute mile | 14 | 430 | 3,700 | $10 | $106.9K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 689 | 740 | 150 | $100 | $100.3K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 710 | 1,520 | 260 | $40 | $71.9K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 40 | 660 | 190 | $30 | $42.6K |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | 105 | 160 | 980 | $1 | $13.5K |