| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
122,985 |
8,477 |
$10.90M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
127,179 |
10,250 |
$8.94M |
| T2003 |
Non-emergency transportation; encounter/trip |
60,961 |
4,386 |
$1.39M |
| S5170 |
Home delivered meals, including preparation; per meal |
67,475 |
4,820 |
$1.22M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
28,869 |
1,940 |
$597K |
| T2002 |
Non-emergency transportation; per diem |
15,822 |
1,121 |
$338K |
| S9977 |
Meals, per diem, not otherwise specified |
15,003 |
1,424 |
$299K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
11,718 |
1,054 |
$230K |
| A0100 |
Non-emergency transportation; taxi |
10,966 |
737 |
$44K |