| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
182,257 |
32,957 |
$1.50M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
159,464 |
24,410 |
$1.22M |
| A0130 |
Non-emergency transportation: wheelchair van |
51,566 |
8,012 |
$366K |
| S0215 |
Non-emergency transportation; mileage, per mile |
19,209 |
4,188 |
$18.00 |
| A0100 |
Non-emergency transportation; taxi |
618 |
155 |
$0.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
30,542 |
4,629 |
$0.00 |