| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
70,043 |
7,432 |
$4.78M |
| S5102 |
Day care services, adult; per diem |
21,920 |
2,363 |
$2.03M |
| S9977 |
Meals, per diem, not otherwise specified |
23,074 |
2,148 |
$424K |
| T2003 |
Non-emergency transportation; encounter/trip |
9,195 |
1,134 |
$219K |
| S5170 |
Home delivered meals, including preparation; per meal |
4,195 |
389 |
$84K |
| A0100 |
Non-emergency transportation; taxi |
2,046 |
280 |
$51K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
964 |
75 |
$19K |
| A0130 |
Non-emergency transportation: wheelchair van |
187 |
36 |
$4K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
67 |
12 |
$2K |