| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
3,441,938 |
731,313 |
$16.93M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
811,497 |
68,993 |
$9.30M |
| A0100 |
Non-emergency transportation; taxi |
623,228 |
169,885 |
$7.52M |
| S0215 |
Non-emergency transportation; mileage, per mile |
917,503 |
230,578 |
$685K |
| T2003 |
Non-emergency transportation; encounter/trip |
934,748 |
269,475 |
$506K |
| A0130 |
Non-emergency transportation: wheelchair van |
479,577 |
88,624 |
$440K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
7,210 |
1,331 |
$300K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
47,297 |
1,924 |
$78K |
| A0425 |
Ground mileage, per statute mile |
131,673 |
43,562 |
$0.00 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
126,765 |
42,186 |
$0.00 |
| T2005 |
Non-emergency transportation; stretcher van |
96,386 |
12,181 |
$0.00 |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,437 |
1,257 |
$0.00 |
| Z9500 |
|
826 |
31 |
$0.00 |