| Code | Description | Claims | Beneficiaries | Total Paid |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
114,168 |
7,214 |
$8.07M |
| S5102 |
Day care services, adult; per diem |
64,830 |
4,381 |
$5.88M |
| T2003 |
Non-emergency transportation; encounter/trip |
46,576 |
2,718 |
$1.14M |
| A0130 |
Non-emergency transportation: wheelchair van |
39,202 |
2,445 |
$962K |
| A0100 |
Non-emergency transportation; taxi |
27,461 |
1,983 |
$679K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
10,090 |
585 |
$208K |
| S5170 |
Home delivered meals, including preparation; per meal |
2,991 |
230 |
$60K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
1,037 |
67 |
$20K |