| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
88,552 |
6,034 |
$6.93M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
52,075 |
3,706 |
$3.61M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
43,082 |
2,928 |
$1.02M |
| T2003 |
Non-emergency transportation; encounter/trip |
24,617 |
1,433 |
$580K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,359 |
183 |
$79K |
| S5170 |
Home delivered meals, including preparation; per meal |
4,780 |
366 |
$64K |
| A0100 |
Non-emergency transportation; taxi |
1,941 |
170 |
$48K |