| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
61,589 |
4,641 |
$5.71M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
57,401 |
4,075 |
$3.47M |
| T2003 |
Non-emergency transportation; encounter/trip |
27,493 |
2,110 |
$678K |
| A0100 |
Non-emergency transportation; taxi |
17,972 |
1,429 |
$440K |
| S5170 |
Home delivered meals, including preparation; per meal |
15,249 |
1,033 |
$279K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,913 |
231 |
$96K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
4,791 |
191 |
$79K |