| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
207,374 |
29,688 |
$1.46M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
631 |
583 |
$427K |
| A0130 |
Non-emergency transportation: wheelchair van |
28,880 |
5,070 |
$311K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
49,094 |
6,391 |
$228K |
| A0425 |
Ground mileage, per statute mile |
281 |
262 |
$117K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
162 |
157 |
$95K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
14,724 |
1,070 |
$19K |
| T2005 |
Non-emergency transportation; stretcher van |
754 |
502 |
$7K |
| A0210 |
Non-emergency transportation: ancillary: meals-escort |
1,609 |
776 |
$7K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
1,697 |
983 |
$6K |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
320 |
151 |
$2K |