| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
69,265 |
7,574 |
$4.47M |
| S5102 |
Day care services, adult; per diem |
19,562 |
2,206 |
$1.29M |
| S9977 |
Meals, per diem, not otherwise specified |
29,047 |
2,761 |
$484K |
| T2003 |
Non-emergency transportation; encounter/trip |
14,585 |
1,776 |
$351K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
6,594 |
574 |
$124K |
| A0100 |
Non-emergency transportation; taxi |
4,014 |
488 |
$97K |
| S5170 |
Home delivered meals, including preparation; per meal |
613 |
50 |
$8K |