| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
16,867,922 |
2,606,898 |
$391.02M |
| W6110 |
|
2,279,581 |
456,860 |
$240.88M |
| A0130 |
Non-emergency transportation: wheelchair van |
2,423,562 |
351,319 |
$114.80M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
4,180,782 |
634,544 |
$39.90M |
| S0215 |
Non-emergency transportation; mileage, per mile |
2,345,832 |
280,028 |
$33.00M |
| T2003 |
Non-emergency transportation; encounter/trip |
1,019,514 |
96,827 |
$15.15M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
50,497 |
27,016 |
$13.56M |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
1,276,493 |
191,366 |
$12.87M |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
303,237 |
44,544 |
$12.61M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
3,176,910 |
239,538 |
$8.95M |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
231,784 |
48,797 |
$5.03M |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
24,765 |
20,502 |
$4.25M |
| A0200 |
Non-emergency transportation: ancillary: lodging escort |
5,815 |
4,947 |
$893K |
| A0210 |
Non-emergency transportation: ancillary: meals-escort |
10,071 |
7,795 |
$742K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
14,406 |
11,063 |
$463K |
| T2005 |
Non-emergency transportation; stretcher van |
786 |
178 |
$122K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
664 |
138 |
$90K |
| A0425 |
Ground mileage, per statute mile |
1,596 |
422 |
$62K |
| T2002 |
Non-emergency transportation; per diem |
4,689 |
1,173 |
$22K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
112 |
29 |
$214.08 |
| S0209 |
Wheelchair van, mileage, per mile |
169,462 |
5,609 |
$42.24 |