| Code | Description | Claims | Beneficiaries | Total Paid |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
128,595 |
11,318 |
$10.42M |
| S5102 |
Day care services, adult; per diem |
77,327 |
5,322 |
$7.31M |
| S9977 |
Meals, per diem, not otherwise specified |
34,376 |
2,896 |
$687K |
| S5170 |
Home delivered meals, including preparation; per meal |
13,325 |
930 |
$207K |
| A0100 |
Non-emergency transportation; taxi |
10,681 |
774 |
$113K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
4,568 |
342 |
$88K |