| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
172,589 |
15,001 |
$14.01M |
| S9977 |
Meals, per diem, not otherwise specified |
48,393 |
3,978 |
$761K |
| S5102 |
Day care services, adult; per diem |
12,890 |
954 |
$600K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
24,432 |
1,894 |
$518K |
| S5170 |
Home delivered meals, including preparation; per meal |
8,825 |
673 |
$158K |
| A0100 |
Non-emergency transportation; taxi |
3,601 |
349 |
$89K |
| T2003 |
Non-emergency transportation; encounter/trip |
3,212 |
292 |
$64K |