| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
79,633 |
6,961 |
$5.15M |
| S5102 |
Day care services, adult; per diem |
33,629 |
2,865 |
$3.19M |
| A0100 |
Non-emergency transportation; taxi |
24,816 |
2,167 |
$619K |
| S5170 |
Home delivered meals, including preparation; per meal |
21,291 |
1,865 |
$419K |
| T2003 |
Non-emergency transportation; encounter/trip |
11,520 |
995 |
$286K |
| S9977 |
Meals, per diem, not otherwise specified |
9,198 |
806 |
$171K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
5,943 |
509 |
$108K |
| S5101 |
Day care services, adult; per half day |
62 |
19 |
$0.00 |