| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
74,813 |
4,191 |
$5.49M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
72,386 |
3,724 |
$1.33M |
| S5102 |
Day care services, adult; per diem |
5,814 |
377 |
$403K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
11,067 |
582 |
$313K |
| A5105 |
Urinary suspensory with leg bag, with or without tube, each |
13 |
13 |
$0.00 |