| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
344,586 |
25,922 |
$25.03M |
| S5102 |
Day care services, adult; per diem |
41,122 |
6,665 |
$7.21M |
| T2003 |
Non-emergency transportation; encounter/trip |
81,029 |
5,070 |
$1.97M |
| A0100 |
Non-emergency transportation; taxi |
63,733 |
4,772 |
$1.59M |
| S9977 |
Meals, per diem, not otherwise specified |
39,779 |
3,288 |
$793K |
| S5170 |
Home delivered meals, including preparation; per meal |
13,204 |
1,679 |
$418K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
2,581 |
625 |
$168K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
5,142 |
376 |
$116K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,654 |
239 |
$83K |