| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2005 |
Non-emergency transportation; stretcher van |
22,265 |
2,152 |
$2.96M |
| A0130 |
Non-emergency transportation: wheelchair van |
6,537 |
869 |
$461K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
10,887 |
561 |
$416K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
22,256 |
2,148 |
$34K |
| T2003 |
Non-emergency transportation; encounter/trip |
78 |
12 |
$5K |
| A0100 |
Non-emergency transportation; taxi |
52 |
14 |
$2K |