| Code | Description | Claims | Beneficiaries | Total Paid |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
130,244 |
11,327 |
$10.84M |
| S5102 |
Day care services, adult; per diem |
105,428 |
7,738 |
$9.50M |
| S5170 |
Home delivered meals, including preparation; per meal |
27,977 |
1,710 |
$538K |
| S9977 |
Meals, per diem, not otherwise specified |
22,784 |
1,909 |
$450K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
15,946 |
1,161 |
$316K |
| A0100 |
Non-emergency transportation; taxi |
11,624 |
924 |
$290K |
| T2003 |
Non-emergency transportation; encounter/trip |
11,901 |
1,033 |
$255K |