| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
216,089 |
14,778 |
$14.61M |
| S5102 |
Day care services, adult; per diem |
68,868 |
4,276 |
$6.69M |
| A0100 |
Non-emergency transportation; taxi |
89,763 |
6,372 |
$2.22M |
| T2003 |
Non-emergency transportation; encounter/trip |
55,929 |
3,262 |
$1.27M |
| A0130 |
Non-emergency transportation: wheelchair van |
18,871 |
1,171 |
$430K |
| S5170 |
Home delivered meals, including preparation; per meal |
18,854 |
1,470 |
$377K |
| T2002 |
Non-emergency transportation; per diem |
793 |
61 |
$12K |