| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
1,016,328 |
271,874 |
$34.35M |
| A0130 |
Non-emergency transportation: wheelchair van |
552,288 |
108,336 |
$21.34M |
| A0100 |
Non-emergency transportation; taxi |
1,035,593 |
275,982 |
$7.49M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
26,414 |
12,024 |
$2.15M |
| S0209 |
Wheelchair van, mileage, per mile |
232,444 |
55,762 |
$1.74M |
| A0425 |
Ground mileage, per statute mile |
26,302 |
12,018 |
$327K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
23,583 |
6,646 |
$74K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
317 |
244 |
$16K |
| T2005 |
Non-emergency transportation; stretcher van |
275 |
107 |
$8K |
| A0999 |
Unlisted ambulance service |
406 |
194 |
$888.56 |