| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
46,457 |
2,772 |
$3.52M |
| S5102 |
Day care services, adult; per diem |
26,105 |
1,400 |
$1.96M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
33,705 |
1,347 |
$660K |
| T2003 |
Non-emergency transportation; encounter/trip |
10,803 |
485 |
$477K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
7,860 |
416 |
$269K |
| A0100 |
Non-emergency transportation; taxi |
3,752 |
252 |
$79K |