| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
54,751 |
3,272 |
$3.68M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
44,672 |
2,558 |
$893K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
7,638 |
444 |
$267K |
| A0100 |
Non-emergency transportation; taxi |
8,113 |
595 |
$202K |
| S5170 |
Home delivered meals, including preparation; per meal |
1,130 |
81 |
$23K |
| S5102 |
Day care services, adult; per diem |
126 |
12 |
$6K |