| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
12,161 |
2,582 |
$8.06M |
| S0215 |
Non-emergency transportation; mileage, per mile |
8,419 |
2,780 |
$1.46M |
| S0209 |
Wheelchair van, mileage, per mile |
1,139 |
309 |
$210K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
8,412 |
2,779 |
$120K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,146 |
314 |
$27K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
533 |
320 |
$13K |