| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
117,500 |
10,065 |
$9.79M |
| S5102 |
Day care services, adult; per diem |
54,878 |
3,683 |
$5.12M |
| S9977 |
Meals, per diem, not otherwise specified |
11,242 |
920 |
$221K |
| T2002 |
Non-emergency transportation; per diem |
9,251 |
719 |
$218K |
| S5170 |
Home delivered meals, including preparation; per meal |
9,407 |
703 |
$189K |
| A0100 |
Non-emergency transportation; taxi |
3,577 |
278 |
$89K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,450 |
129 |
$35K |