| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
160,522 |
17,915 |
$10.08M |
| S5102 |
Day care services, adult; per diem |
87,776 |
8,297 |
$5.97M |
| T2003 |
Non-emergency transportation; encounter/trip |
81,266 |
9,231 |
$2.06M |
| S9977 |
Meals, per diem, not otherwise specified |
64,516 |
6,236 |
$1.05M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
43,805 |
4,003 |
$956K |
| S5170 |
Home delivered meals, including preparation; per meal |
28,249 |
2,609 |
$443K |
| A0100 |
Non-emergency transportation; taxi |
22,127 |
2,172 |
$256K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
2,579 |
205 |
$90K |
| A0130 |
Non-emergency transportation: wheelchair van |
660 |
128 |
$24K |