| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
103,078 |
7,935 |
$7.80M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
50,146 |
4,504 |
$2.84M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
70,005 |
5,092 |
$1.83M |
| T2003 |
Non-emergency transportation; encounter/trip |
26,222 |
2,320 |
$650K |
| S5170 |
Home delivered meals, including preparation; per meal |
15,385 |
1,396 |
$297K |
| A0100 |
Non-emergency transportation; taxi |
3,956 |
468 |
$99K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,275 |
259 |
$54K |