| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
30,292 |
2,250 |
$1.44M |
| S5101 |
Day care services, adult; per half day |
17,711 |
1,302 |
$1.13M |
| S5102 |
Day care services, adult; per diem |
19,203 |
1,435 |
$884K |
| A0100 |
Non-emergency transportation; taxi |
17,061 |
1,252 |
$674K |
| S9977 |
Meals, per diem, not otherwise specified |
37,444 |
2,766 |
$625K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
35,859 |
2,664 |
$506K |
| S5170 |
Home delivered meals, including preparation; per meal |
6,207 |
340 |
$109K |
| T2002 |
Non-emergency transportation; per diem |
2,600 |
218 |
$69K |