| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
160,422 |
13,298 |
$13.34M |
| S5102 |
Day care services, adult; per diem |
95,885 |
6,554 |
$7.21M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
40,500 |
2,640 |
$908K |
| T2003 |
Non-emergency transportation; encounter/trip |
26,860 |
1,755 |
$604K |
| S9977 |
Meals, per diem, not otherwise specified |
17,002 |
1,448 |
$341K |
| S5170 |
Home delivered meals, including preparation; per meal |
12,781 |
969 |
$248K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,288 |
331 |
$64K |
| A0100 |
Non-emergency transportation; taxi |
2,387 |
182 |
$60K |