| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
58,788 |
6,644 |
$3.91M |
| S5102 |
Day care services, adult; per diem |
5,986 |
699 |
$465K |
| T2003 |
Non-emergency transportation; encounter/trip |
16,836 |
2,025 |
$349K |
| S9977 |
Meals, per diem, not otherwise specified |
14,731 |
1,430 |
$249K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
5,104 |
586 |
$97K |
| S5170 |
Home delivered meals, including preparation; per meal |
1,672 |
169 |
$33K |
| A0100 |
Non-emergency transportation; taxi |
378 |
48 |
$9K |