| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
226,615 |
42,552 |
$1.68M |
| A0425 |
Ground mileage, per statute mile |
233,941 |
43,766 |
$1.39M |
| A0130 |
Non-emergency transportation: wheelchair van |
92,272 |
12,093 |
$810K |
| S5170 |
Home delivered meals, including preparation; per meal |
8,133 |
352 |
$52K |
| S0215 |
Non-emergency transportation; mileage, per mile |
38,344 |
7,850 |
$100.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
60,016 |
10,048 |
$0.00 |
| A0100 |
Non-emergency transportation; taxi |
645 |
178 |
$0.00 |