| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
120,096 |
27,422 |
$22.40M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
112,373 |
25,267 |
$1.75M |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
5,093 |
2,903 |
$62K |
| T2005 |
Non-emergency transportation; stretcher van |
491 |
191 |
$0.00 |
| S0209 |
Wheelchair van, mileage, per mile |
450 |
185 |
$0.00 |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
463 |
169 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
384 |
144 |
$0.00 |
| A0100 |
Non-emergency transportation; taxi |
7,494 |
2,157 |
$0.00 |