| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
86,288 |
5,470 |
$6.25M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
35,151 |
2,595 |
$2.48M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
44,692 |
2,827 |
$1.12M |
| T2003 |
Non-emergency transportation; encounter/trip |
17,130 |
1,065 |
$419K |
| A0100 |
Non-emergency transportation; taxi |
9,358 |
788 |
$155K |
| S5170 |
Home delivered meals, including preparation; per meal |
7,268 |
516 |
$109K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,127 |
252 |
$103K |