| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
53,055 |
4,885 |
$3.51M |
| T2003 |
Non-emergency transportation; encounter/trip |
35,244 |
2,897 |
$779K |
| S5102 |
Day care services, adult; per diem |
5,324 |
628 |
$421K |
| S5170 |
Home delivered meals, including preparation; per meal |
2,927 |
240 |
$58K |
| S9977 |
Meals, per diem, not otherwise specified |
1,775 |
188 |
$35K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,163 |
111 |
$23K |
| A0100 |
Non-emergency transportation; taxi |
895 |
119 |
$22K |