| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
129,742 |
9,994 |
$10.02M |
| T2003 |
Non-emergency transportation; encounter/trip |
31,074 |
1,845 |
$751K |
| A0100 |
Non-emergency transportation; taxi |
15,549 |
1,141 |
$386K |
| A0130 |
Non-emergency transportation: wheelchair van |
9,562 |
616 |
$235K |
| S9977 |
Meals, per diem, not otherwise specified |
9,471 |
794 |
$189K |
| S5170 |
Home delivered meals, including preparation; per meal |
6,467 |
503 |
$129K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
28 |
28 |
$0.00 |