| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
150,195 |
29,113 |
$1.32M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
144,231 |
27,251 |
$1.28M |
| S5170 |
Home delivered meals, including preparation; per meal |
128,131 |
5,842 |
$777K |
| A0130 |
Non-emergency transportation: wheelchair van |
51,092 |
8,292 |
$429K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
3,327 |
157 |
$182K |
| S0215 |
Non-emergency transportation; mileage, per mile |
25,774 |
5,510 |
$0.00 |
| A0100 |
Non-emergency transportation; taxi |
292 |
79 |
$0.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
41,783 |
7,388 |
$0.00 |