| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
12,260 |
1,576 |
$518K |
| T2003 |
Non-emergency transportation; encounter/trip |
8,887 |
801 |
$354K |
| T2005 |
Non-emergency transportation; stretcher van |
1,165 |
304 |
$317K |
| A0100 |
Non-emergency transportation; taxi |
6,832 |
541 |
$189K |
| S0215 |
Non-emergency transportation; mileage, per mile |
3,876 |
736 |
$112K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
2,112 |
247 |
$43K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
1,165 |
304 |
$3K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
162 |
112 |
$2K |