| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
523,329 |
43,594 |
$21.25M |
| A0130 |
Non-emergency transportation: wheelchair van |
74,711 |
6,089 |
$3.61M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
2,811 |
173 |
$280K |
| S0215 |
Non-emergency transportation; mileage, per mile |
10,933 |
2,380 |
$191K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15,029 |
799 |
$145K |
| A0425 |
Ground mileage, per statute mile |
4,733 |
2,751 |
$68K |
| A0100 |
Non-emergency transportation; taxi |
117 |
96 |
$4K |
| A0200 |
Non-emergency transportation: ancillary: lodging escort |
27 |
26 |
$0.00 |