| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
77,270 |
5,112 |
$7.35M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
98,159 |
7,491 |
$6.03M |
| A0100 |
Non-emergency transportation; taxi |
46,670 |
3,619 |
$1.17M |
| T2003 |
Non-emergency transportation; encounter/trip |
20,365 |
1,376 |
$501K |
| T2002 |
Non-emergency transportation; per diem |
13,861 |
1,096 |
$488K |
| S5170 |
Home delivered meals, including preparation; per meal |
18,004 |
1,452 |
$359K |
| A0130 |
Non-emergency transportation: wheelchair van |
6,278 |
497 |
$145K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
5,447 |
417 |
$108K |