| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
54,540 |
3,808 |
$3.31M |
| S5102 |
Day care services, adult; per diem |
35,470 |
2,421 |
$2.69M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
31,188 |
1,848 |
$729K |
| A0100 |
Non-emergency transportation; taxi |
8,998 |
590 |
$224K |
| T2003 |
Non-emergency transportation; encounter/trip |
6,830 |
402 |
$167K |
| T2002 |
Non-emergency transportation; per diem |
2,938 |
264 |
$46K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,732 |
106 |
$40K |
| S5170 |
Home delivered meals, including preparation; per meal |
943 |
63 |
$603.00 |