| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
129,190 |
8,093 |
$10.45M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
94,404 |
7,779 |
$7.30M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
36,530 |
2,308 |
$744K |
| A0100 |
Non-emergency transportation; taxi |
28,168 |
1,884 |
$400K |
| S5170 |
Home delivered meals, including preparation; per meal |
25,643 |
1,665 |
$391K |
| S9977 |
Meals, per diem, not otherwise specified |
13,079 |
1,123 |
$262K |
| T2003 |
Non-emergency transportation; encounter/trip |
3,356 |
267 |
$102K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
3,221 |
231 |
$64K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,428 |
160 |
$60K |