| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
120,671 |
9,503 |
$8.60M |
| S5102 |
Day care services, adult; per diem |
67,560 |
4,452 |
$5.52M |
| T2003 |
Non-emergency transportation; encounter/trip |
24,594 |
1,585 |
$566K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
19,441 |
1,190 |
$401K |
| S9977 |
Meals, per diem, not otherwise specified |
17,485 |
1,492 |
$348K |
| S5170 |
Home delivered meals, including preparation; per meal |
13,855 |
1,033 |
$261K |
| T2002 |
Non-emergency transportation; per diem |
6,386 |
552 |
$156K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
5,256 |
383 |
$105K |
| A0100 |
Non-emergency transportation; taxi |
2,329 |
211 |
$53K |