| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
16,711 |
3,573 |
$770K |
| A0100 |
Non-emergency transportation; taxi |
26,349 |
5,141 |
$675K |
| S0209 |
Wheelchair van, mileage, per mile |
17,623 |
2,544 |
$668K |
| A0130 |
Non-emergency transportation: wheelchair van |
17,595 |
2,545 |
$524K |
| S0215 |
Non-emergency transportation; mileage, per mile |
110 |
25 |
$4K |
| T2003 |
Non-emergency transportation; encounter/trip |
35 |
13 |
$560.00 |