| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
140,073 |
9,319 |
$10.45M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
101,970 |
8,008 |
$7.04M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
50,369 |
3,320 |
$1.27M |
| T2003 |
Non-emergency transportation; encounter/trip |
27,375 |
1,648 |
$575K |
| T2002 |
Non-emergency transportation; per diem |
27,847 |
2,236 |
$543K |
| A0100 |
Non-emergency transportation; taxi |
17,366 |
1,430 |
$433K |
| S5170 |
Home delivered meals, including preparation; per meal |
11,674 |
864 |
$227K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
2,554 |
176 |
$30K |