| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
1,386,439 |
449,040 |
$0.00 |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
44,764 |
20,896 |
$0.00 |
| S0209 |
Wheelchair van, mileage, per mile |
337,853 |
99,359 |
$0.00 |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
591 |
564 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
321,340 |
93,718 |
$0.00 |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,368,280 |
448,054 |
$0.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
82,696 |
25,095 |
$0.00 |
| T2005 |
Non-emergency transportation; stretcher van |
52,513 |
23,774 |
$0.00 |