| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
91,131 |
6,750 |
$7.26M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
29,149 |
2,335 |
$2.16M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
43,306 |
3,026 |
$862K |
| T2003 |
Non-emergency transportation; encounter/trip |
18,364 |
1,323 |
$423K |
| S5170 |
Home delivered meals, including preparation; per meal |
9,303 |
736 |
$169K |
| A0100 |
Non-emergency transportation; taxi |
5,901 |
452 |
$138K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
4,689 |
407 |
$91K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,441 |
99 |
$36K |