| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
264,132 |
23,477 |
$22.57M |
| T2003 |
Non-emergency transportation; encounter/trip |
202,141 |
17,915 |
$4.75M |
| S5102 |
Day care services, adult; per diem |
43,514 |
3,052 |
$3.79M |
| T2002 |
Non-emergency transportation; per diem |
17,139 |
1,439 |
$424K |
| A0100 |
Non-emergency transportation; taxi |
13,627 |
1,128 |
$340K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
11,341 |
659 |
$224K |
| S5170 |
Home delivered meals, including preparation; per meal |
7,621 |
539 |
$121K |
| S9977 |
Meals, per diem, not otherwise specified |
4,684 |
502 |
$79K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,727 |
262 |
$54K |