| Code | Description | Claims | Beneficiaries | Total Paid |
| A0100 |
Non-emergency transportation; taxi |
60,021 |
4,535 |
$1.54M |
| S0215 |
Non-emergency transportation; mileage, per mile |
32,273 |
4,849 |
$973K |
| A0130 |
Non-emergency transportation: wheelchair van |
24,801 |
3,287 |
$588K |
| T2003 |
Non-emergency transportation; encounter/trip |
18,030 |
2,442 |
$177K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
22,824 |
2,452 |
$175K |
| T2005 |
Non-emergency transportation; stretcher van |
406 |
93 |
$49K |
| A0140 |
Non-emergency transportation and air travel (private or commercial) intra or inter state |
481 |
250 |
$18K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
747 |
583 |
$12K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
406 |
93 |
$6K |