| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
189,231 |
15,179 |
$12.89M |
| T2003 |
Non-emergency transportation; encounter/trip |
148,038 |
11,968 |
$3.65M |
| S5102 |
Day care services, adult; per diem |
17,722 |
1,310 |
$1.51M |
| A0100 |
Non-emergency transportation; taxi |
20,256 |
1,583 |
$497K |
| S5170 |
Home delivered meals, including preparation; per meal |
14,444 |
989 |
$296K |
| S9977 |
Meals, per diem, not otherwise specified |
13,025 |
1,085 |
$260K |
| A0130 |
Non-emergency transportation: wheelchair van |
5,487 |
366 |
$132K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
4,421 |
324 |
$83K |