| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
77,549 |
6,682 |
$9.34M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
39,226 |
3,048 |
$2.81M |
| S5170 |
Home delivered meals, including preparation; per meal |
18,599 |
1,709 |
$508K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
9,233 |
755 |
$215K |
| T2003 |
Non-emergency transportation; encounter/trip |
6,737 |
456 |
$165K |
| A0130 |
Non-emergency transportation: wheelchair van |
5,517 |
361 |
$136K |
| A0100 |
Non-emergency transportation; taxi |
668 |
52 |
$4K |