| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
114,905 |
7,534 |
$10.44M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
125,027 |
8,657 |
$9.33M |
| T2003 |
Non-emergency transportation; encounter/trip |
36,577 |
1,842 |
$695K |
| S5170 |
Home delivered meals, including preparation; per meal |
24,785 |
1,671 |
$394K |
| S9977 |
Meals, per diem, not otherwise specified |
16,004 |
1,440 |
$313K |
| A0130 |
Non-emergency transportation: wheelchair van |
6,929 |
359 |
$174K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
7,806 |
560 |
$145K |
| A0100 |
Non-emergency transportation; taxi |
9,929 |
680 |
$62K |