| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
72,553 |
6,271 |
$6.49M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
66,552 |
5,751 |
$4.46M |
| T2003 |
Non-emergency transportation; encounter/trip |
26,907 |
2,224 |
$471K |
| A0100 |
Non-emergency transportation; taxi |
17,812 |
1,773 |
$279K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
13,487 |
1,123 |
$255K |
| S5170 |
Home delivered meals, including preparation; per meal |
14,330 |
1,273 |
$215K |
| T2002 |
Non-emergency transportation; per diem |
5,858 |
560 |
$116K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,415 |
289 |
$49K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
405 |
38 |
$8K |