| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
208,757 |
19,918 |
$17.49M |
| S5102 |
Day care services, adult; per diem |
136,511 |
9,752 |
$9.94M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
88,609 |
6,023 |
$2.19M |
| T2003 |
Non-emergency transportation; encounter/trip |
50,442 |
3,599 |
$1.22M |
| S5170 |
Home delivered meals, including preparation; per meal |
18,032 |
1,400 |
$302K |
| S9977 |
Meals, per diem, not otherwise specified |
13,084 |
1,216 |
$261K |
| A0100 |
Non-emergency transportation; taxi |
10,745 |
908 |
$153K |
| A0130 |
Non-emergency transportation: wheelchair van |
5,590 |
408 |
$126K |
| T2002 |
Non-emergency transportation; per diem |
7,800 |
717 |
$113K |