| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
15,774 |
3,388 |
$61K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,696 |
663 |
$52K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
11,473 |
2,844 |
$13K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
686 |
194 |
$432.00 |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
148 |
64 |
$318.00 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
19 |
16 |
$0.00 |
| A0100 |
Non-emergency transportation; taxi |
584 |
123 |
$0.00 |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
48 |
22 |
$0.00 |
| S0215 |
Non-emergency transportation; mileage, per mile |
142 |
42 |
$0.00 |