| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
167,338 |
11,131 |
$13.40M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
156,647 |
12,497 |
$12.54M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
57,164 |
3,882 |
$1.54M |
| T2003 |
Non-emergency transportation; encounter/trip |
53,038 |
3,406 |
$1.26M |
| A0100 |
Non-emergency transportation; taxi |
36,640 |
2,934 |
$631K |
| A0130 |
Non-emergency transportation: wheelchair van |
13,146 |
918 |
$322K |
| S5170 |
Home delivered meals, including preparation; per meal |
18,254 |
1,302 |
$219K |
| S9977 |
Meals, per diem, not otherwise specified |
5,259 |
481 |
$105K |
| T2002 |
Non-emergency transportation; per diem |
3,272 |
290 |
$93K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
463 |
36 |
$9K |