| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
33,243 |
12,389 |
$0.00 |
| T2005 |
Non-emergency transportation; stretcher van |
928 |
705 |
$0.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
87,397 |
15,787 |
$0.00 |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
17 |
16 |
$0.00 |
| A0100 |
Non-emergency transportation; taxi |
115,187 |
17,172 |
$0.00 |
| S0215 |
Non-emergency transportation; mileage, per mile |
91,894 |
16,119 |
$0.00 |
| S0209 |
Wheelchair van, mileage, per mile |
86,206 |
19,442 |
$0.00 |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
83,509 |
8,941 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
32,694 |
9,272 |
$0.00 |