| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
35,733 |
2,202 |
$3.03M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
37,650 |
2,245 |
$2.37M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
20,705 |
1,032 |
$368K |
| T2003 |
Non-emergency transportation; encounter/trip |
12,113 |
755 |
$222K |
| S5170 |
Home delivered meals, including preparation; per meal |
7,481 |
470 |
$143K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
4,751 |
303 |
$92K |
| A0100 |
Non-emergency transportation; taxi |
2,831 |
208 |
$71K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
1,899 |
102 |
$66K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,062 |
67 |
$20K |