| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
3,818,704 |
297,507 |
$68.41M |
| A0425 |
Ground mileage, per statute mile |
1,267,196 |
145,681 |
$31.36M |
| A0130 |
Non-emergency transportation: wheelchair van |
803,584 |
63,939 |
$25.09M |
| A0999 |
Unlisted ambulance service |
65,983 |
11,432 |
$5.11M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
171,810 |
13,150 |
$2.67M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,445 |
2,646 |
$2.03M |
| A0140 |
Non-emergency transportation and air travel (private or commercial) intra or inter state |
15,464 |
2,560 |
$1.47M |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
16,695 |
8,186 |
$269K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
6,516 |
1,889 |
$87K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
23 |
12 |
$7K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,356 |
554 |
$0.00 |
| A0382 |
Bls routine disposable supplies |
967 |
325 |
$0.00 |