| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
69,890 |
7,591 |
$4.05M |
| S5102 |
Day care services, adult; per diem |
23,888 |
2,709 |
$1.41M |
| T2003 |
Non-emergency transportation; encounter/trip |
27,541 |
3,131 |
$681K |
| S5170 |
Home delivered meals, including preparation; per meal |
17,029 |
1,823 |
$317K |
| S9977 |
Meals, per diem, not otherwise specified |
18,893 |
1,807 |
$295K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
13,411 |
1,329 |
$266K |
| A0100 |
Non-emergency transportation; taxi |
8,672 |
949 |
$215K |