| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
1,877,427 |
623,338 |
$116.25M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,770,373 |
601,812 |
$78.64M |
| A0434 |
Specialty care transport (sct) |
67,061 |
12,248 |
$74.64M |
| A0130 |
Non-emergency transportation: wheelchair van |
201,381 |
60,594 |
$10.55M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
20,290 |
5,812 |
$5.42M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
167,651 |
36,857 |
$4.60M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
238,409 |
48,262 |
$4.27M |
| S0209 |
Wheelchair van, mileage, per mile |
201,381 |
60,594 |
$2.44M |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
4,770 |
1,758 |
$397K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
5,899 |
2,511 |
$186K |
| A0100 |
Non-emergency transportation; taxi |
5,252 |
1,364 |
$169K |
| A0433 |
Advanced life support, level 2 (als 2) |
301 |
176 |
$101K |
| A0210 |
Non-emergency transportation: ancillary: meals-escort |
3,243 |
1,449 |
$86K |
| A0200 |
Non-emergency transportation: ancillary: lodging escort |
1,607 |
728 |
$85K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
230 |
195 |
$38K |