| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
168,418 |
24,143 |
$14.29M |
| S5102 |
Day care services, adult; per diem |
36,154 |
5,239 |
$3.38M |
| S9977 |
Meals, per diem, not otherwise specified |
35,092 |
4,201 |
$662K |
| T2003 |
Non-emergency transportation; encounter/trip |
18,897 |
2,635 |
$479K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
16,526 |
2,384 |
$462K |
| A0100 |
Non-emergency transportation; taxi |
10,699 |
1,636 |
$277K |
| S5170 |
Home delivered meals, including preparation; per meal |
7,973 |
1,025 |
$155K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,059 |
383 |
$84K |
| T2002 |
Non-emergency transportation; per diem |
2,095 |
351 |
$42K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
1,956 |
344 |
$37K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
416 |
69 |
$15K |