| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
80,587 |
6,658 |
$6.27M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
20,317 |
1,446 |
$391K |
| S5102 |
Day care services, adult; per diem |
3,664 |
317 |
$339K |
| A0100 |
Non-emergency transportation; taxi |
11,245 |
863 |
$280K |
| S9977 |
Meals, per diem, not otherwise specified |
7,010 |
662 |
$140K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
2,020 |
192 |
$70K |
| S5170 |
Home delivered meals, including preparation; per meal |
3,423 |
281 |
$68K |