| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
23,647 |
5,772 |
$217K |
| A0425 |
Ground mileage, per statute mile |
18,619 |
4,950 |
$80K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,797 |
751 |
$30K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,860 |
931 |
$18K |
| A0100 |
Non-emergency transportation; taxi |
6,534 |
2,009 |
$6K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
14,577 |
3,585 |
$0.00 |