| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
1,762,454 |
270,499 |
$45.17M |
| A0130 |
Non-emergency transportation: wheelchair van |
384,238 |
45,984 |
$14.83M |
| T2003 |
Non-emergency transportation; encounter/trip |
208,406 |
37,799 |
$7.53M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
221,533 |
21,624 |
$4.81M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
112,062 |
16,118 |
$1.10M |
| T2005 |
Non-emergency transportation; stretcher van |
14,094 |
1,484 |
$1.09M |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,533 |
226 |
$23K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
35 |
17 |
$7K |
| A0200 |
Non-emergency transportation: ancillary: lodging escort |
470 |
259 |
$0.00 |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
2,599 |
1,333 |
$0.00 |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
677 |
385 |
$0.00 |
| A0210 |
Non-emergency transportation: ancillary: meals-escort |
2,531 |
1,315 |
$0.00 |