| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
1,215,803 |
304,709 |
$59.06M |
| A0130 |
Non-emergency transportation: wheelchair van |
537,031 |
100,685 |
$44.05M |
| S0215 |
Non-emergency transportation; mileage, per mile |
338,052 |
110,025 |
$11.46M |
| S0209 |
Wheelchair van, mileage, per mile |
115,618 |
29,633 |
$3.45M |
| A0999 |
Unlisted ambulance service |
8,573 |
3,566 |
$3.13M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
8,018 |
3,648 |
$1.92M |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
71,599 |
23,872 |
$710K |
| A0425 |
Ground mileage, per statute mile |
12,004 |
5,282 |
$470K |
| T2003 |
Non-emergency transportation; encounter/trip |
14,938 |
3,520 |
$247K |
| A0380 |
Bls mileage (per mile) |
473 |
138 |
$8K |