| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
36,763 |
3,516 |
$2.41M |
| T2025 |
Waiver services; not otherwise specified (nos) |
14,489 |
2,572 |
$694K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
4,016 |
365 |
$126K |
| S5101 |
Day care services, adult; per half day |
1,238 |
484 |
$39K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,115 |
257 |
$27K |
| S0209 |
Wheelchair van, mileage, per mile |
1,115 |
257 |
$15K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
1,115 |
257 |
$12K |