| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
103,817 |
12,867 |
$7.03M |
| S5102 |
Day care services, adult; per diem |
25,279 |
2,967 |
$1.63M |
| T2003 |
Non-emergency transportation; encounter/trip |
47,591 |
6,302 |
$1.23M |
| S9977 |
Meals, per diem, not otherwise specified |
24,955 |
2,625 |
$460K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
15,702 |
1,879 |
$312K |
| S5170 |
Home delivered meals, including preparation; per meal |
16,105 |
1,884 |
$307K |
| A0100 |
Non-emergency transportation; taxi |
3,771 |
456 |
$110K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
216 |
17 |
$8K |