| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
59,314 |
6,005 |
$3.66M |
| S5102 |
Day care services, adult; per diem |
16,816 |
1,581 |
$1.62M |
| T2003 |
Non-emergency transportation; encounter/trip |
22,360 |
2,340 |
$582K |
| A0100 |
Non-emergency transportation; taxi |
8,961 |
873 |
$268K |
| S5170 |
Home delivered meals, including preparation; per meal |
10,065 |
1,301 |
$201K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,280 |
201 |
$57K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
534 |
60 |
$10K |