| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
102,806 |
7,118 |
$7.61M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
83,696 |
4,802 |
$5.56M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
76,504 |
4,172 |
$1.53M |
| A0100 |
Non-emergency transportation; taxi |
21,945 |
1,603 |
$548K |
| T2003 |
Non-emergency transportation; encounter/trip |
13,125 |
812 |
$321K |
| S5170 |
Home delivered meals, including preparation; per meal |
12,578 |
897 |
$235K |