| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
33,065 |
5,758 |
$1.62M |
| S0215 |
Non-emergency transportation; mileage, per mile |
41,777 |
4,589 |
$1.33M |
| A0100 |
Non-emergency transportation; taxi |
51,514 |
8,444 |
$764K |
| S0209 |
Wheelchair van, mileage, per mile |
27,738 |
4,214 |
$704K |
| T2003 |
Non-emergency transportation; encounter/trip |
22,313 |
1,886 |
$387K |
| A0130 |
Non-emergency transportation: wheelchair van |
27,459 |
4,193 |
$342K |
| A0999 |
Unlisted ambulance service |
99 |
77 |
$0.00 |