| Code | Description | Claims | Beneficiaries | Total Paid |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
116,423 |
10,401 |
$6.81M |
| T2003 |
Non-emergency transportation; encounter/trip |
97,191 |
8,653 |
$2.38M |
| S5102 |
Day care services, adult; per diem |
25,740 |
2,415 |
$2.02M |
| S9977 |
Meals, per diem, not otherwise specified |
7,876 |
772 |
$156K |
| S5170 |
Home delivered meals, including preparation; per meal |
8,462 |
637 |
$150K |
| S5100 |
Day care services, adult; per 15 minutes |
6,786 |
622 |
$50K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
2,266 |
195 |
$43K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
1,173 |
131 |
$28K |
| A0100 |
Non-emergency transportation; taxi |
494 |
48 |
$2K |