| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
8,700 |
1,737 |
$540K |
| S0215 |
Non-emergency transportation; mileage, per mile |
6,602 |
1,628 |
$295K |
| A0100 |
Non-emergency transportation; taxi |
9,020 |
2,010 |
$172K |
| T2003 |
Non-emergency transportation; encounter/trip |
6,383 |
1,628 |
$79K |
| S0209 |
Wheelchair van, mileage, per mile |
76 |
12 |
$6K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
72 |
40 |
$2K |
| A0130 |
Non-emergency transportation: wheelchair van |
56 |
12 |
$1K |