| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
23,643 |
1,398 |
$1.68M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
14,299 |
857 |
$856K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
15,634 |
769 |
$307K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
8,471 |
267 |
$272K |
| S5170 |
Home delivered meals, including preparation; per meal |
4,242 |
298 |
$68K |
| A0100 |
Non-emergency transportation; taxi |
516 |
60 |
$11K |