| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
249,089 |
79,294 |
$12.66M |
| A0100 |
Non-emergency transportation; taxi |
249,066 |
79,282 |
$2.32M |
| S0209 |
Wheelchair van, mileage, per mile |
17,229 |
4,232 |
$485K |
| A0130 |
Non-emergency transportation: wheelchair van |
17,617 |
4,236 |
$457K |
| T2005 |
Non-emergency transportation; stretcher van |
1,047 |
551 |
$115K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
1,046 |
551 |
$53K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
556 |
261 |
$113.07 |