| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
54,737 |
4,422 |
$5.19M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
69,064 |
5,609 |
$4.76M |
| A0100 |
Non-emergency transportation; taxi |
46,808 |
3,686 |
$1.17M |
| A0130 |
Non-emergency transportation: wheelchair van |
4,803 |
361 |
$120K |
| T2003 |
Non-emergency transportation; encounter/trip |
4,431 |
327 |
$113K |
| S5170 |
Home delivered meals, including preparation; per meal |
963 |
200 |
$51K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
2,465 |
201 |
$49K |