| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
214,309 |
15,208 |
$14.38M |
| S5102 |
Day care services, adult; per diem |
151,911 |
9,851 |
$11.42M |
| T2003 |
Non-emergency transportation; encounter/trip |
108,171 |
6,881 |
$2.65M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
86,159 |
5,546 |
$1.70M |
| A0130 |
Non-emergency transportation: wheelchair van |
18,129 |
1,107 |
$438K |
| A0100 |
Non-emergency transportation; taxi |
13,774 |
975 |
$344K |
| S5170 |
Home delivered meals, including preparation; per meal |
16,575 |
1,187 |
$305K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
3,430 |
271 |
$89K |
| S9977 |
Meals, per diem, not otherwise specified |
2,996 |
252 |
$60K |