| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
116,499 |
24,210 |
$2.13M |
| S0209 |
Wheelchair van, mileage, per mile |
87,541 |
23,834 |
$1.59M |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
14,491 |
2,493 |
$342K |
| A0100 |
Non-emergency transportation; taxi |
16,004 |
2,692 |
$249K |
| T2003 |
Non-emergency transportation; encounter/trip |
7,006 |
832 |
$126K |
| S0215 |
Non-emergency transportation; mileage, per mile |
6,901 |
838 |
$114K |
| A0999 |
Unlisted ambulance service |
63 |
40 |
$0.00 |