| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
137,292 |
10,189 |
$10.40M |
| S5102 |
Day care services, adult; per diem |
25,197 |
1,806 |
$2.22M |
| T2003 |
Non-emergency transportation; encounter/trip |
30,556 |
1,727 |
$746K |
| A0100 |
Non-emergency transportation; taxi |
28,688 |
2,159 |
$707K |
| S5170 |
Home delivered meals, including preparation; per meal |
15,066 |
1,169 |
$284K |
| A0130 |
Non-emergency transportation: wheelchair van |
8,207 |
465 |
$200K |
| S9977 |
Meals, per diem, not otherwise specified |
6,822 |
574 |
$134K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
3,726 |
254 |
$71K |