| Code | Description | Claims | Beneficiaries | Total Paid |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
272,215 |
54,306 |
$1.07M |
| A0100 |
Non-emergency transportation; taxi |
349,894 |
55,805 |
$1.04M |
| A0130 |
Non-emergency transportation: wheelchair van |
86,202 |
13,362 |
$555K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
28,498 |
5,634 |
$171K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
34,658 |
11,929 |
$94K |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
8,292 |
2,295 |
$31K |
| A0210 |
Non-emergency transportation: ancillary: meals-escort |
8,799 |
3,712 |
$16K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
7,915 |
1,957 |
$9K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
1,739 |
519 |
$6K |
| A0434 |
Specialty care transport (sct) |
891 |
676 |
$3K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,229 |
446 |
$0.00 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
26 |
15 |
$0.00 |