| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
105,706 |
7,264 |
$9.21M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
77,792 |
6,808 |
$5.77M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
26,676 |
1,971 |
$660K |
| T2003 |
Non-emergency transportation; encounter/trip |
19,033 |
1,739 |
$475K |
| S5170 |
Home delivered meals, including preparation; per meal |
19,729 |
1,516 |
$395K |
| S9977 |
Meals, per diem, not otherwise specified |
16,354 |
1,422 |
$327K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
13,610 |
1,099 |
$272K |
| A0100 |
Non-emergency transportation; taxi |
7,565 |
688 |
$189K |