| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
100,868 |
10,578 |
$5.72M |
| S9977 |
Meals, per diem, not otherwise specified |
43,956 |
4,139 |
$876K |
| T2003 |
Non-emergency transportation; encounter/trip |
26,287 |
2,888 |
$649K |
| S5102 |
Day care services, adult; per diem |
4,567 |
607 |
$413K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
2,982 |
310 |
$65K |
| S5170 |
Home delivered meals, including preparation; per meal |
1,048 |
109 |
$19K |