| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
206,316 |
21,078 |
$15.31M |
| S9977 |
Meals, per diem, not otherwise specified |
62,655 |
6,064 |
$1.25M |
| S5102 |
Day care services, adult; per diem |
10,494 |
1,231 |
$846K |
| T2003 |
Non-emergency transportation; encounter/trip |
21,618 |
2,783 |
$463K |
| S5170 |
Home delivered meals, including preparation; per meal |
13,386 |
1,360 |
$262K |
| A0100 |
Non-emergency transportation; taxi |
8,369 |
1,124 |
$207K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
5,141 |
472 |
$103K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,229 |
141 |
$30K |