| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
25,693 |
5,189 |
$666K |
| T2003 |
Non-emergency transportation; encounter/trip |
3,106 |
1,285 |
$307K |
| A0130 |
Non-emergency transportation: wheelchair van |
6,779 |
931 |
$292K |
| S0215 |
Non-emergency transportation; mileage, per mile |
11,942 |
2,746 |
$278K |
| S0209 |
Wheelchair van, mileage, per mile |
1,986 |
355 |
$39K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
4,080 |
1,185 |
$33K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
1,375 |
467 |
$3K |