| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
96,144 |
21,656 |
$7.75M |
| A0100 |
Non-emergency transportation; taxi |
110,685 |
34,326 |
$4.76M |
| S0215 |
Non-emergency transportation; mileage, per mile |
50,674 |
18,712 |
$1.59M |
| S0209 |
Wheelchair van, mileage, per mile |
25,007 |
8,241 |
$894K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,091 |
1,145 |
$846K |
| T2005 |
Non-emergency transportation; stretcher van |
1,507 |
607 |
$662K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
13,134 |
5,231 |
$115K |
| A0425 |
Ground mileage, per statute mile |
1,863 |
1,037 |
$94K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
1,160 |
481 |
$63K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
2,338 |
1,979 |
$23K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
93 |
66 |
$7K |