| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
75,447 |
4,724 |
$7.45M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
48,074 |
3,709 |
$3.73M |
| T2003 |
Non-emergency transportation; encounter/trip |
18,868 |
1,242 |
$355K |
| S5170 |
Home delivered meals, including preparation; per meal |
16,956 |
1,132 |
$224K |
| S9977 |
Meals, per diem, not otherwise specified |
4,146 |
353 |
$83K |
| A0100 |
Non-emergency transportation; taxi |
14,371 |
947 |
$57K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,394 |
151 |
$46K |