| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
95,591 |
19,802 |
$5.10M |
| T2003 |
Non-emergency transportation; encounter/trip |
5,069 |
1,869 |
$558K |
| A0100 |
Non-emergency transportation; taxi |
9,620 |
1,857 |
$300K |
| S0209 |
Wheelchair van, mileage, per mile |
2,781 |
1,355 |
$86K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
4,394 |
2,510 |
$60K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
13 |
13 |
$2K |
| S0215 |
Non-emergency transportation; mileage, per mile |
15 |
14 |
$115.82 |