| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
675,569 |
45,380 |
$0.00 |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,605,839 |
283,634 |
$0.00 |
| A0100 |
Non-emergency transportation; taxi |
1,807,170 |
289,567 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
472,534 |
88,106 |
$0.00 |
| S0209 |
Wheelchair van, mileage, per mile |
445,854 |
88,954 |
$0.00 |
| A0999 |
Unlisted ambulance service |
453,069 |
29,435 |
$0.00 |
| T2005 |
Non-emergency transportation; stretcher van |
18,096 |
13,074 |
$0.00 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,089 |
4,505 |
$0.00 |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,105 |
1,858 |
$0.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,114,348 |
81,202 |
$0.00 |