| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
303,691 |
57,883 |
$27.70M |
| S0215 |
Non-emergency transportation; mileage, per mile |
387,247 |
94,760 |
$21.86M |
| A0100 |
Non-emergency transportation; taxi |
393,794 |
95,276 |
$8.27M |
| S0209 |
Wheelchair van, mileage, per mile |
96,312 |
21,387 |
$3.78M |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
86,592 |
26,164 |
$738K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,789 |
966 |
$598K |
| A0425 |
Ground mileage, per statute mile |
1,796 |
968 |
$98K |