| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
74,571 |
4,676 |
$6.73M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
63,612 |
5,387 |
$4.98M |
| A0100 |
Non-emergency transportation; taxi |
20,059 |
1,368 |
$314K |
| S5170 |
Home delivered meals, including preparation; per meal |
15,229 |
1,001 |
$226K |
| S9977 |
Meals, per diem, not otherwise specified |
9,638 |
846 |
$192K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
1,966 |
128 |
$36K |
| T2003 |
Non-emergency transportation; encounter/trip |
342 |
27 |
$10K |