| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
71,297 |
5,188 |
$7.05M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
70,026 |
6,305 |
$4.24M |
| T2003 |
Non-emergency transportation; encounter/trip |
47,971 |
4,317 |
$955K |
| S9977 |
Meals, per diem, not otherwise specified |
9,939 |
881 |
$190K |
| S5170 |
Home delivered meals, including preparation; per meal |
6,273 |
387 |
$121K |
| A0100 |
Non-emergency transportation; taxi |
4,843 |
452 |
$121K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
6,055 |
439 |
$86K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
2,877 |
215 |
$56K |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
715 |
44 |
$24K |