| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
78,759 |
5,210 |
$5.91M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
44,947 |
3,292 |
$2.56M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
55,686 |
3,459 |
$1.43M |
| A0100 |
Non-emergency transportation; taxi |
32,196 |
2,341 |
$828K |
| S5170 |
Home delivered meals, including preparation; per meal |
10,002 |
827 |
$198K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
1,300 |
100 |
$26K |