| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
40,917 |
4,273 |
$2.31M |
| S5102 |
Day care services, adult; per diem |
14,086 |
1,148 |
$811K |
| S5101 |
Day care services, adult; per half day |
9,804 |
895 |
$609K |
| T2003 |
Non-emergency transportation; encounter/trip |
18,883 |
1,777 |
$462K |
| S9977 |
Meals, per diem, not otherwise specified |
17,775 |
1,593 |
$314K |
| A0100 |
Non-emergency transportation; taxi |
9,435 |
862 |
$313K |
| S5170 |
Home delivered meals, including preparation; per meal |
4,621 |
404 |
$90K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,956 |
165 |
$68K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
2,137 |
152 |
$40K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
412 |
37 |
$14K |