| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
8,526,201 |
1,966,037 |
$289.30M |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
1,058,384 |
239,046 |
$48.56M |
| A0100 |
Non-emergency transportation; taxi |
9,522,560 |
2,192,760 |
$40.73M |
| S0209 |
Wheelchair van, mileage, per mile |
343,856 |
83,100 |
$13.62M |
| A0130 |
Non-emergency transportation: wheelchair van |
358,358 |
86,473 |
$7.86M |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
76,974 |
22,995 |
$6.45M |
| T2005 |
Non-emergency transportation; stretcher van |
77,545 |
23,257 |
$6.00M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
157,524 |
9,231 |
$2.61M |
| A0425 |
Ground mileage, per statute mile |
4,352 |
1,329 |
$724K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,033 |
836 |
$343K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
73,301 |
20,395 |
$268K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
4,511 |
283 |
$107K |
| T2003 |
Non-emergency transportation; encounter/trip |
2,156 |
664 |
$88K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
55,707 |
6,534 |
$84K |
| A0434 |
Specialty care transport (sct) |
1,302 |
185 |
$33K |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
14 |
12 |
$6K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
96 |
90 |
$1K |
| H2032 |
Activity therapy, per 15 minutes |
829 |
543 |
$0.00 |
| A0999 |
Unlisted ambulance service |
37,312 |
4,729 |
$0.00 |