| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
716,939 |
54,815 |
$19.30M |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
523,462 |
44,896 |
$10.36M |
| T2003 |
Non-emergency transportation; encounter/trip |
293,271 |
33,862 |
$7.91M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
349,849 |
17,843 |
$3.82M |
| A0425 |
Ground mileage, per statute mile |
50,697 |
8,834 |
$2.12M |
| T2005 |
Non-emergency transportation; stretcher van |
4,301 |
647 |
$2.01M |
| A0130 |
Non-emergency transportation: wheelchair van |
44,925 |
5,269 |
$1.95M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,663 |
4,363 |
$523K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
896 |
742 |
$272K |
| A0380 |
Bls mileage (per mile) |
232 |
163 |
$15K |
| A0434 |
Specialty care transport (sct) |
855 |
206 |
$13K |