| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
7,703 |
2,445 |
$733K |
| A0100 |
Non-emergency transportation; taxi |
14,037 |
2,057 |
$475K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,154 |
733 |
$174K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
4,024 |
1,689 |
$65K |
| T2003 |
Non-emergency transportation; encounter/trip |
592 |
195 |
$27K |
| A0140 |
Non-emergency transportation and air travel (private or commercial) intra or inter state |
59 |
44 |
$12K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
561 |
145 |
$5K |