| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
14,422 |
3,458 |
$1.06M |
| T2003 |
Non-emergency transportation; encounter/trip |
14,820 |
2,615 |
$869K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
12,274 |
955 |
$280K |
| A0100 |
Non-emergency transportation; taxi |
9,428 |
721 |
$110K |
| S0215 |
Non-emergency transportation; mileage, per mile |
5,988 |
1,436 |
$65K |
| T2005 |
Non-emergency transportation; stretcher van |
77 |
37 |
$19K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
77 |
37 |
$55.35 |