| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
83,983 |
7,220 |
$4.62M |
| S5102 |
Day care services, adult; per diem |
26,043 |
2,184 |
$2.16M |
| T2003 |
Non-emergency transportation; encounter/trip |
58,567 |
4,992 |
$1.41M |
| A0100 |
Non-emergency transportation; taxi |
13,263 |
1,135 |
$325K |
| S5170 |
Home delivered meals, including preparation; per meal |
14,326 |
1,297 |
$281K |
| S5100 |
Day care services, adult; per 15 minutes |
4,814 |
391 |
$38K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
2,128 |
222 |
$32K |