| Code | Description | Claims | Bene. Records | Total Paid |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
77,209 |
7,602 |
$5.32M |
| T2003 |
Non-emergency transportation; encounter/trip |
35,684 |
3,214 |
$705K |
| S5102 |
Day care services, adult; per diem |
7,563 |
675 |
$473K |
| S5170 |
Home delivered meals, including preparation; per meal |
12,199 |
954 |
$241K |
| S9977 |
Meals, per diem, not otherwise specified |
4,809 |
487 |
$91K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,592 |
351 |
$62K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
809 |
105 |
$16K |