| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Nonemergency transport taxi |
3,818,704 |
297,507 |
$68.41M |
| A0425 |
Ground mileage |
1,267,196 |
145,681 |
$31.36M |
| A0130 |
Noner transport wheelch van |
803,584 |
63,939 |
$25.09M |
| A0999 |
Unlisted ambulance service |
65,983 |
11,432 |
$5.11M |
| A0110 |
Nonemergency transport bus |
171,810 |
13,150 |
$2.67M |
| A0428 |
Bls |
6,445 |
2,646 |
$2.03M |
| A0140 |
Nonemergency transport air |
15,464 |
2,560 |
$1.47M |
| A0170 |
Transport parking fees/tolls |
16,695 |
8,186 |
$269K |
| T2049 |
N-et; stretcher van, mileage |
6,516 |
1,889 |
$87K |
| A0426 |
Als 1 |
23 |
12 |
$7K |
| A0422 |
Ambulance 02 life sustaining |
1,356 |
554 |
$0.00 |
| A0382 |
Basic support routine suppls |
967 |
325 |
$0.00 |