| Code | Description | Claims | Beneficiaries | Total Paid |
| A0100 |
Non-emergency transportation; taxi |
2,134,521 |
213,445 |
$33.94M |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,935,290 |
200,772 |
$33.86M |
| T2003 |
Non-emergency transportation; encounter/trip |
103,627 |
15,757 |
$7.18M |
| A0130 |
Non-emergency transportation: wheelchair van |
199,720 |
33,328 |
$6.98M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
580,789 |
24,132 |
$6.08M |
| S0209 |
Wheelchair van, mileage, per mile |
184,216 |
30,841 |
$3.91M |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
17,507 |
7,115 |
$1.07M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,560 |
4,106 |
$852K |
| T2005 |
Non-emergency transportation; stretcher van |
5,362 |
804 |
$758K |
| A0380 |
Bls mileage (per mile) |
5,423 |
4,019 |
$266K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
5,361 |
806 |
$176K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
15,529 |
3,233 |
$43K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
220 |
202 |
$21K |
| A0390 |
Als mileage (per mile) |
220 |
202 |
$14K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
250 |
96 |
$2K |