| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
9,082 |
2,015 |
$546K |
| A0130 |
Non-emergency transportation: wheelchair van |
7,208 |
1,001 |
$323K |
| T2005 |
Non-emergency transportation; stretcher van |
1,253 |
228 |
$228K |
| T2003 |
Non-emergency transportation; encounter/trip |
6,428 |
1,013 |
$180K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
8,052 |
1,602 |
$93K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
1,253 |
228 |
$27.56 |