| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
2,012,002 |
296,323 |
$44.81M |
| T2003 |
Non-emergency transportation; encounter/trip |
1,974,651 |
283,469 |
$35.81M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
47,171 |
28,536 |
$8.76M |
| A0130 |
Non-emergency transportation: wheelchair van |
248,458 |
39,240 |
$8.21M |
| A0425 |
Ground mileage, per statute mile |
53,529 |
33,611 |
$7.92M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
260,622 |
22,819 |
$5.49M |
| S0209 |
Wheelchair van, mileage, per mile |
237,134 |
37,802 |
$3.98M |
| T2005 |
Non-emergency transportation; stretcher van |
15,055 |
2,246 |
$1.38M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
5,578 |
5,110 |
$971K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
97,704 |
22,549 |
$866K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
14,982 |
2,224 |
$449K |
| A0434 |
Specialty care transport (sct) |
188 |
180 |
$31K |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
206 |
13 |
$21K |
| A0100 |
Non-emergency transportation; taxi |
1,067 |
58 |
$0.00 |