| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
102,752 |
8,409 |
$6.62M |
| S5102 |
Day care services, adult; per diem |
31,913 |
2,653 |
$2.87M |
| A0100 |
Non-emergency transportation; taxi |
26,273 |
2,262 |
$644K |
| S5170 |
Home delivered meals, including preparation; per meal |
22,352 |
1,871 |
$439K |
| T2003 |
Non-emergency transportation; encounter/trip |
7,121 |
424 |
$174K |
| S9977 |
Meals, per diem, not otherwise specified |
5,368 |
474 |
$107K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,368 |
313 |
$84K |