| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
27,670 |
10,911 |
$2.02M |
| S0209 |
Wheelchair van, mileage, per mile |
31,418 |
12,198 |
$1.12M |
| T2005 |
Non-emergency transportation; stretcher van |
3,893 |
1,691 |
$917K |
| S0215 |
Non-emergency transportation; mileage, per mile |
18,687 |
6,003 |
$441K |
| A0100 |
Non-emergency transportation; taxi |
18,787 |
6,052 |
$301K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
1,652 |
423 |
$87K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
5,157 |
1,521 |
$46K |
| A0425 |
Ground mileage, per statute mile |
213 |
72 |
$9K |