| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
88,865 |
10,500 |
$6.30M |
| S5102 |
Day care services, adult; per diem |
47,019 |
4,785 |
$5.37M |
| A0100 |
Non-emergency transportation; taxi |
53,232 |
6,486 |
$1.31M |
| T2003 |
Non-emergency transportation; encounter/trip |
7,810 |
969 |
$148K |
| S9977 |
Meals, per diem, not otherwise specified |
4,312 |
411 |
$86K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,271 |
418 |
$58K |
| S5170 |
Home delivered meals, including preparation; per meal |
2,945 |
287 |
$24K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
653 |
120 |
$22K |