| Code | Description | Claims | Beneficiaries | Total Paid |
| S0215 |
Non-emergency transportation; mileage, per mile |
56,552 |
10,215 |
$1.24M |
| A0100 |
Non-emergency transportation; taxi |
22,654 |
4,946 |
$260K |
| T2003 |
Non-emergency transportation; encounter/trip |
40,291 |
7,495 |
$245K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
6,180 |
1,850 |
$207K |
| S0209 |
Wheelchair van, mileage, per mile |
807 |
133 |
$17K |
| A0130 |
Non-emergency transportation: wheelchair van |
809 |
132 |
$14K |