| Code | Description | Claims | Beneficiaries | Total Paid |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
52,861 |
4,010 |
$3.46M |
| S5102 |
Day care services, adult; per diem |
34,762 |
2,496 |
$3.16M |
| A0100 |
Non-emergency transportation; taxi |
50,338 |
3,789 |
$1.26M |
| S5170 |
Home delivered meals, including preparation; per meal |
9,877 |
771 |
$196K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
4,681 |
357 |
$91K |
| T2003 |
Non-emergency transportation; encounter/trip |
556 |
55 |
$25.00 |