| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
179,851 |
14,986 |
$13.28M |
| S5102 |
Day care services, adult; per diem |
131,547 |
8,539 |
$11.51M |
| A0100 |
Non-emergency transportation; taxi |
71,945 |
5,316 |
$1.46M |
| T2003 |
Non-emergency transportation; encounter/trip |
13,903 |
893 |
$352K |
| S5170 |
Home delivered meals, including preparation; per meal |
27,078 |
1,920 |
$332K |
| S9977 |
Meals, per diem, not otherwise specified |
16,115 |
1,325 |
$322K |
| T2002 |
Non-emergency transportation; per diem |
10,559 |
828 |
$222K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,472 |
267 |
$85K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
1,199 |
89 |
$24K |