| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
39,541 |
4,000 |
$1.96M |
| S5102 |
Day care services, adult; per diem |
22,023 |
1,520 |
$1.37M |
| S9977 |
Meals, per diem, not otherwise specified |
14,085 |
1,223 |
$274K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
12,851 |
801 |
$258K |
| T2003 |
Non-emergency transportation; encounter/trip |
9,395 |
913 |
$230K |
| S5170 |
Home delivered meals, including preparation; per meal |
10,630 |
984 |
$212K |
| A0100 |
Non-emergency transportation; taxi |
2,351 |
273 |
$67K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
1,299 |
96 |
$26K |