| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
5,913 |
868 |
$363K |
| T2005 |
Non-emergency transportation; stretcher van |
139 |
50 |
$62K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,009 |
243 |
$37K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
731 |
193 |
$24K |
| S0215 |
Non-emergency transportation; mileage, per mile |
271 |
127 |
$10K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
139 |
50 |
$0.00 |