| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
61,641 |
8,375 |
$3.58M |
| S5102 |
Day care services, adult; per diem |
23,647 |
3,204 |
$2.36M |
| T2003 |
Non-emergency transportation; encounter/trip |
25,332 |
3,571 |
$553K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
2,417 |
244 |
$84K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
3,801 |
620 |
$73K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
2,426 |
242 |
$48K |
| A0100 |
Non-emergency transportation; taxi |
1,656 |
266 |
$41K |