| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
23,864 |
2,956 |
$1.20M |
| S5102 |
Day care services, adult; per diem |
7,858 |
1,049 |
$742K |
| T2003 |
Non-emergency transportation; encounter/trip |
14,535 |
1,756 |
$371K |
| S5170 |
Home delivered meals, including preparation; per meal |
10,048 |
1,076 |
$197K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
915 |
124 |
$22K |
| S9977 |
Meals, per diem, not otherwise specified |
915 |
124 |
$15K |