| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
75,193 |
10,302 |
$7.64M |
| A0100 |
Non-emergency transportation; taxi |
44,690 |
9,514 |
$729K |
| S0209 |
Wheelchair van, mileage, per mile |
10,860 |
2,057 |
$560K |
| A0130 |
Non-emergency transportation: wheelchair van |
7,557 |
2,043 |
$212K |
| T2003 |
Non-emergency transportation; encounter/trip |
2,239 |
398 |
$45K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
3,288 |
626 |
$44K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
1,090 |
125 |
$31K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
1,501 |
906 |
$5K |