| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
17,005 |
3,039 |
$817K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
7,679 |
1,552 |
$380K |
| T2003 |
Non-emergency transportation; encounter/trip |
14,924 |
2,915 |
$188K |
| A0100 |
Non-emergency transportation; taxi |
10,237 |
1,701 |
$164K |
| S0209 |
Wheelchair van, mileage, per mile |
2,314 |
386 |
$67K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,196 |
390 |
$49K |
| A0999 |
Unlisted ambulance service |
165 |
85 |
$775.00 |