| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
183,025 |
11,334 |
$14.89M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
116,691 |
9,936 |
$9.35M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
86,262 |
5,269 |
$2.09M |
| A0100 |
Non-emergency transportation; taxi |
32,223 |
1,880 |
$804K |
| T2003 |
Non-emergency transportation; encounter/trip |
18,969 |
1,335 |
$416K |
| S9977 |
Meals, per diem, not otherwise specified |
14,415 |
1,230 |
$288K |
| S5170 |
Home delivered meals, including preparation; per meal |
13,454 |
911 |
$207K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,253 |
298 |
$95K |
| T2002 |
Non-emergency transportation; per diem |
3,386 |
282 |
$23K |