| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
71,310 |
6,515 |
$3.80M |
| S5102 |
Day care services, adult; per diem |
24,228 |
2,267 |
$1.80M |
| T2003 |
Non-emergency transportation; encounter/trip |
37,806 |
3,755 |
$905K |
| S9977 |
Meals, per diem, not otherwise specified |
21,103 |
1,887 |
$337K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
13,869 |
1,345 |
$303K |
| S5170 |
Home delivered meals, including preparation; per meal |
15,790 |
1,316 |
$292K |
| A0100 |
Non-emergency transportation; taxi |
2,768 |
334 |
$66K |