| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0209 |
Wheelchair van, mileage, per mile |
75,077 |
16,613 |
$2.76M |
| S0215 |
Non-emergency transportation; mileage, per mile |
76,849 |
15,313 |
$2.64M |
| A0130 |
Non-emergency transportation: wheelchair van |
65,560 |
16,590 |
$1.61M |
| T2003 |
Non-emergency transportation; encounter/trip |
58,400 |
12,579 |
$956K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
23,975 |
6,329 |
$876K |
| A0100 |
Non-emergency transportation; taxi |
40,029 |
9,959 |
$867K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
167 |
71 |
$16K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
336 |
238 |
$14K |
| A0999 |
Unlisted ambulance service |
407 |
342 |
$10K |
| T2005 |
Non-emergency transportation; stretcher van |
137 |
71 |
$10K |