| Code | Description | Claims | Beneficiaries | Total Paid |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
87,157 |
6,977 |
$5.55M |
| S5102 |
Day care services, adult; per diem |
51,823 |
3,847 |
$4.45M |
| A0100 |
Non-emergency transportation; taxi |
45,751 |
3,542 |
$1.14M |
| T2003 |
Non-emergency transportation; encounter/trip |
41,150 |
3,091 |
$888K |
| S5170 |
Home delivered meals, including preparation; per meal |
23,856 |
1,733 |
$503K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
13,664 |
983 |
$266K |
| A0130 |
Non-emergency transportation: wheelchair van |
7,684 |
567 |
$191K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
1,578 |
135 |
$53K |