| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
20,335 |
1,468 |
$740K |
| T2003 |
Non-emergency transportation; encounter/trip |
5,848 |
717 |
$187K |
| S0215 |
Non-emergency transportation; mileage, per mile |
502 |
224 |
$27K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
410 |
147 |
$3K |
| A0130 |
Non-emergency transportation: wheelchair van |
39 |
12 |
$2K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
17 |
14 |
$0.00 |