| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
1,280,200 |
83,224 |
$15.56M |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
141,887 |
17,057 |
$11.72M |
| A0130 |
Non-emergency transportation: wheelchair van |
619,870 |
20,905 |
$7.63M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,420 |
3,605 |
$2.20M |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
11,935 |
1,263 |
$534K |
| S8940 |
Equestrian/hippotherapy, per session |
3,728 |
1,129 |
$278K |
| A0200 |
Non-emergency transportation: ancillary: lodging escort |
2,178 |
1,905 |
$194K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
47,686 |
4,167 |
$188K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
3,305 |
699 |
$23K |
| A0210 |
Non-emergency transportation: ancillary: meals-escort |
907 |
778 |
$23K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
1,000 |
148 |
$8K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,042,538 |
61,411 |
$0.00 |
| S0209 |
Wheelchair van, mileage, per mile |
570,271 |
17,955 |
$0.00 |
| A0425 |
Ground mileage, per statute mile |
6,650 |
1,580 |
$0.00 |