| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Nonemergency transport taxi |
16,867,922 |
2,606,898 |
$391.02M |
| W6110 |
|
2,279,581 |
456,860 |
$240.88M |
| A0130 |
Noner transport wheelch van |
2,423,562 |
351,319 |
$114.80M |
| A0090 |
Interest escort in non er |
4,180,782 |
634,544 |
$39.90M |
| S0215 |
Nonemerg transp mileage |
2,345,832 |
280,028 |
$33.00M |
| T2003 |
N-et; encounter/trip |
1,019,514 |
96,827 |
$15.15M |
| A0428 |
Bls |
50,497 |
27,016 |
$13.56M |
| A0170 |
Transport parking fees/tolls |
1,276,493 |
191,366 |
$12.87M |
| A0888 |
Noncovered ambulance mileage |
303,237 |
44,544 |
$12.61M |
| A0110 |
Nonemergency transport bus |
3,176,910 |
239,538 |
$8.95M |
| T2004 |
N-et; commerc carrier pass |
231,784 |
48,797 |
$5.03M |
| A0180 |
Noner transport lodgng recip |
24,765 |
20,502 |
$4.25M |
| A0200 |
Noner transport lodgng escrt |
5,815 |
4,947 |
$893K |
| A0210 |
Noner transport meals escort |
10,071 |
7,795 |
$742K |
| A0190 |
Noner transport meals recip |
14,406 |
11,063 |
$463K |
| T2005 |
N-et; stretcher van |
786 |
178 |
$122K |
| T2049 |
N-et; stretcher van, mileage |
664 |
138 |
$90K |
| A0425 |
Ground mileage |
1,596 |
422 |
$62K |
| T2002 |
N-et; per diem |
4,689 |
1,173 |
$22K |
| A0080 |
Noninterest escort in non er |
112 |
29 |
$214.08 |
| S0209 |
Wc van mileage per mi |
169,462 |
5,609 |
$42.24 |