| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
3,912,409 |
520,726 |
$75.10M |
| S0209 |
Wheelchair van, mileage, per mile |
1,163,402 |
213,258 |
$36.07M |
| S0215 |
Non-emergency transportation; mileage, per mile |
461,735 |
123,875 |
$10.66M |
| A0100 |
Non-emergency transportation; taxi |
4,375,433 |
644,601 |
$2.33M |
| A0130 |
Non-emergency transportation: wheelchair van |
1,163,853 |
213,393 |
$283K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
2,137 |
1,008 |
$60K |
| T2005 |
Non-emergency transportation; stretcher van |
1,201 |
731 |
$48K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
1,200 |
731 |
$40K |