| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
35,988 |
3,678 |
$2.06M |
| T2003 |
Non-emergency transportation; encounter/trip |
27,361 |
2,543 |
$663K |
| S5102 |
Day care services, adult; per diem |
4,044 |
255 |
$238K |
| S9977 |
Meals, per diem, not otherwise specified |
6,390 |
570 |
$126K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
4,017 |
255 |
$80K |
| S5170 |
Home delivered meals, including preparation; per meal |
2,121 |
225 |
$42K |
| A0100 |
Non-emergency transportation; taxi |
1,167 |
136 |
$29K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
555 |
37 |
$19K |