| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
52,228 |
4,395 |
$4.82M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
24,032 |
2,517 |
$1.65M |
| S5170 |
Home delivered meals, including preparation; per meal |
19,084 |
1,068 |
$466K |
| S9977 |
Meals, per diem, not otherwise specified |
5,600 |
539 |
$112K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
3,719 |
389 |
$74K |
| A0100 |
Non-emergency transportation; taxi |
565 |
93 |
$14K |