| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
24,636 |
2,888 |
$1.65M |
| S5102 |
Day care services, adult; per diem |
16,957 |
1,973 |
$1.56M |
| T2003 |
Non-emergency transportation; encounter/trip |
9,499 |
1,157 |
$246K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
5,674 |
761 |
$111K |
| S9977 |
Meals, per diem, not otherwise specified |
3,128 |
355 |
$59K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
556 |
62 |
$19K |