| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
22,742 |
1,586 |
$1.77M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
19,898 |
1,612 |
$1.56M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
7,825 |
468 |
$161K |
| A0100 |
Non-emergency transportation; taxi |
3,012 |
229 |
$75K |
| T2003 |
Non-emergency transportation; encounter/trip |
3,179 |
216 |
$67K |
| S5170 |
Home delivered meals, including preparation; per meal |
1,997 |
149 |
$39K |
| A0130 |
Non-emergency transportation: wheelchair van |
912 |
60 |
$17K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
666 |
51 |
$2K |