| Code | Description | Claims | Beneficiaries | Total Paid |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
97,031 |
8,418 |
$7.54M |
| S5102 |
Day care services, adult; per diem |
60,087 |
4,209 |
$5.59M |
| A0100 |
Non-emergency transportation; taxi |
18,034 |
1,370 |
$450K |
| S9977 |
Meals, per diem, not otherwise specified |
17,724 |
1,458 |
$354K |
| S5170 |
Home delivered meals, including preparation; per meal |
5,340 |
407 |
$110K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
1,873 |
137 |
$36K |