| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
241,306 |
18,730 |
$18.90M |
| S5102 |
Day care services, adult; per diem |
113,343 |
7,741 |
$8.78M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
118,609 |
7,501 |
$3.54M |
| T2003 |
Non-emergency transportation; encounter/trip |
69,012 |
4,287 |
$1.64M |
| A0100 |
Non-emergency transportation; taxi |
39,638 |
2,976 |
$733K |
| S5170 |
Home delivered meals, including preparation; per meal |
34,520 |
2,217 |
$587K |
| S9977 |
Meals, per diem, not otherwise specified |
25,573 |
2,243 |
$508K |
| A0130 |
Non-emergency transportation: wheelchair van |
9,851 |
681 |
$243K |