| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Nonemergency transport taxi |
10,354,219 |
1,481,985 |
$373.38M |
| A0130 |
Noner transport wheelch van |
1,431,858 |
186,711 |
$77.96M |
| A0090 |
Interest escort in non er |
3,740,434 |
371,858 |
$63.08M |
| T2005 |
N-et; stretcher van |
127,439 |
21,104 |
$25.65M |
| A0120 |
Noner transport mini-bus |
894,564 |
143,428 |
$20.28M |
| A0428 |
Bls |
50,731 |
16,697 |
$18.63M |
| A0426 |
Als 1 |
7,092 |
3,507 |
$4.66M |
| T2049 |
N-et; stretcher van, mileage |
110,626 |
17,005 |
$3.42M |
| A0180 |
Noner transport lodgng recip |
12,315 |
9,183 |
$2.84M |
| A0110 |
Nonemergency transport bus |
526,192 |
42,196 |
$2.77M |
| A0425 |
Ground mileage |
54,383 |
18,676 |
$2.39M |
| T2003 |
N-et; encounter/trip |
82,785 |
16,093 |
$2.00M |
| A0999 |
Unlisted ambulance service |
115,244 |
11,964 |
$927K |
| A0200 |
Noner transport lodgng escrt |
5,440 |
3,839 |
$770K |
| A0190 |
Noner transport meals recip |
15,250 |
8,911 |
$617K |
| A0210 |
Noner transport meals escort |
12,206 |
7,181 |
$494K |
| A0170 |
Transport parking fees/tolls |
7,389 |
4,198 |
$390K |
| S0209 |
Wc van mileage per mi |
14,038 |
1,605 |
$285K |
| S0215 |
Nonemerg transp mileage |
18,801 |
1,778 |
$282K |
| A0434 |
Specialty care transport |
368 |
304 |
$94K |