| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
93,737 |
11,741 |
$1.86M |
| S0215 |
Non-emergency transportation; mileage, per mile |
78,029 |
10,627 |
$1.26M |
| A0130 |
Non-emergency transportation: wheelchair van |
24,434 |
3,545 |
$683K |
| S0209 |
Wheelchair van, mileage, per mile |
24,427 |
3,544 |
$426K |
| S5120 |
Chore services; per 15 minutes |
6,077 |
1,227 |
$108K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
270 |
207 |
$18K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
29 |
15 |
$50.50 |