| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
89,326 |
8,123 |
$7.69M |
| S5102 |
Day care services, adult; per diem |
16,436 |
1,172 |
$1.33M |
| T2003 |
Non-emergency transportation; encounter/trip |
16,625 |
1,248 |
$307K |
| A0130 |
Non-emergency transportation: wheelchair van |
7,184 |
544 |
$170K |
| A0100 |
Non-emergency transportation; taxi |
6,104 |
641 |
$150K |
| S5170 |
Home delivered meals, including preparation; per meal |
6,735 |
462 |
$135K |
| S9977 |
Meals, per diem, not otherwise specified |
5,449 |
496 |
$109K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
3,195 |
225 |
$96K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
3,074 |
221 |
$61K |