| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
83,572 |
5,782 |
$7.13M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
86,322 |
6,528 |
$4.90M |
| A0100 |
Non-emergency transportation; taxi |
72,009 |
5,281 |
$1.80M |
| S5170 |
Home delivered meals, including preparation; per meal |
22,021 |
1,568 |
$447K |
| T2003 |
Non-emergency transportation; encounter/trip |
13,190 |
950 |
$264K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
2,575 |
201 |
$51K |