| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
354,152 |
29,963 |
$25.79M |
| S5102 |
Day care services, adult; per diem |
87,144 |
7,105 |
$8.55M |
| A0100 |
Non-emergency transportation; taxi |
158,912 |
12,816 |
$3.97M |
| S5170 |
Home delivered meals, including preparation; per meal |
42,758 |
3,854 |
$825K |
| S9977 |
Meals, per diem, not otherwise specified |
29,063 |
2,536 |
$581K |
| T2003 |
Non-emergency transportation; encounter/trip |
11,299 |
1,067 |
$243K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,804 |
391 |
$120K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
1,063 |
92 |
$20K |