| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
34,458 |
8,707 |
$2.00M |
| A0100 |
Non-emergency transportation; taxi |
11,826 |
3,325 |
$513K |
| S0209 |
Wheelchair van, mileage, per mile |
5,636 |
1,794 |
$143K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,295 |
368 |
$90K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
7,121 |
2,259 |
$70K |
| S0215 |
Non-emergency transportation; mileage, per mile |
2,245 |
588 |
$68K |
| T2005 |
Non-emergency transportation; stretcher van |
367 |
134 |
$2K |