| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
10,354,219 |
1,481,985 |
$373.38M |
| A0130 |
Non-emergency transportation: wheelchair van |
1,431,858 |
186,711 |
$77.96M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
3,740,434 |
371,858 |
$63.08M |
| T2005 |
Non-emergency transportation; stretcher van |
127,439 |
21,104 |
$25.65M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
894,564 |
143,428 |
$20.28M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
50,731 |
16,697 |
$18.63M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
7,092 |
3,507 |
$4.66M |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
110,626 |
17,005 |
$3.42M |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
12,315 |
9,183 |
$2.84M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
526,192 |
42,196 |
$2.77M |
| A0425 |
Ground mileage, per statute mile |
54,383 |
18,676 |
$2.39M |
| T2003 |
Non-emergency transportation; encounter/trip |
82,785 |
16,093 |
$2.00M |
| A0999 |
Unlisted ambulance service |
115,244 |
11,964 |
$927K |
| A0200 |
Non-emergency transportation: ancillary: lodging escort |
5,440 |
3,839 |
$770K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
15,250 |
8,911 |
$617K |
| A0210 |
Non-emergency transportation: ancillary: meals-escort |
12,206 |
7,181 |
$494K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
7,389 |
4,198 |
$390K |
| S0209 |
Wheelchair van, mileage, per mile |
14,038 |
1,605 |
$285K |
| S0215 |
Non-emergency transportation; mileage, per mile |
18,801 |
1,778 |
$282K |
| A0434 |
Specialty care transport (sct) |
368 |
304 |
$94K |