| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
17,245 |
3,903 |
$481K |
| A0130 |
Non-emergency transportation: wheelchair van |
5,994 |
1,179 |
$202K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
18,910 |
4,267 |
$190K |
| T2003 |
Non-emergency transportation; encounter/trip |
9,843 |
984 |
$149K |
| A0100 |
Non-emergency transportation; taxi |
2,038 |
224 |
$45K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
261 |
136 |
$3K |