| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
46,555 |
16,898 |
$1.26M |
| S0215 |
Non-emergency transportation; mileage, per mile |
39,573 |
11,464 |
$461K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
59,709 |
19,811 |
$287K |
| A0100 |
Non-emergency transportation; taxi |
18,607 |
6,262 |
$81K |
| A0130 |
Non-emergency transportation: wheelchair van |
15,318 |
2,859 |
$13K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
62,819 |
14,018 |
$0.00 |