| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
137,009 |
14,200 |
$8.65M |
| S5102 |
Day care services, adult; per diem |
56,182 |
5,134 |
$3.82M |
| T2003 |
Non-emergency transportation; encounter/trip |
78,327 |
8,008 |
$1.97M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
48,072 |
4,154 |
$1.06M |
| S9977 |
Meals, per diem, not otherwise specified |
30,374 |
2,820 |
$549K |
| S5170 |
Home delivered meals, including preparation; per meal |
25,926 |
2,362 |
$504K |
| A0100 |
Non-emergency transportation; taxi |
11,271 |
1,239 |
$334K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
2,211 |
176 |
$77K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,068 |
132 |
$35K |