| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
117,674 |
23,185 |
$909K |
| A0130 |
Non-emergency transportation: wheelchair van |
36,954 |
5,266 |
$343K |
| A0425 |
Ground mileage, per statute mile |
89,001 |
18,406 |
$242K |
| S5170 |
Home delivered meals, including preparation; per meal |
24,032 |
990 |
$149K |
| S0215 |
Non-emergency transportation; mileage, per mile |
8,838 |
2,361 |
$14K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
24,292 |
4,994 |
$0.00 |
| A0100 |
Non-emergency transportation; taxi |
202 |
79 |
$0.00 |