| Code | Description | Claims | Beneficiaries | Total Paid |
| A0130 |
Non-emergency transportation: wheelchair van |
133,349 |
10,383 |
$3.85M |
| A0380 |
Bls mileage (per mile) |
88,365 |
8,156 |
$1.58M |
| A0425 |
Ground mileage, per statute mile |
24,275 |
2,715 |
$858K |
| T2005 |
Non-emergency transportation; stretcher van |
952 |
421 |
$182K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
560 |
95 |
$18K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
161 |
148 |
$3K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
22 |
12 |
$299.16 |