| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
121,982 |
38,364 |
$19.09M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
121,990 |
38,350 |
$1.71M |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
31,372 |
15,886 |
$410K |
| S0209 |
Wheelchair van, mileage, per mile |
3,777 |
1,480 |
$213K |
| T2005 |
Non-emergency transportation; stretcher van |
1,221 |
826 |
$149K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,776 |
1,469 |
$99K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
1,228 |
829 |
$70K |