| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
38,637 |
2,720 |
$3.86M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
44,439 |
3,778 |
$3.72M |
| S9977 |
Meals, per diem, not otherwise specified |
8,791 |
757 |
$176K |
| S5170 |
Home delivered meals, including preparation; per meal |
6,003 |
426 |
$118K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
5,279 |
307 |
$105K |
| T2002 |
Non-emergency transportation; per diem |
1,973 |
169 |
$39K |