| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
69,030 |
4,548 |
$6.10M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
51,824 |
4,251 |
$4.06M |
| S5170 |
Home delivered meals, including preparation; per meal |
18,031 |
1,199 |
$256K |
| T2003 |
Non-emergency transportation; encounter/trip |
9,294 |
673 |
$224K |
| S9977 |
Meals, per diem, not otherwise specified |
7,088 |
620 |
$141K |
| A0100 |
Non-emergency transportation; taxi |
10,540 |
806 |
$42K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,781 |
214 |
$34K |