| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
42,536 |
10,636 |
$8.65M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
40,605 |
9,780 |
$575K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
2,163 |
635 |
$26K |
| T2005 |
Non-emergency transportation; stretcher van |
424 |
164 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
3,007 |
1,248 |
$0.00 |
| A0100 |
Non-emergency transportation; taxi |
3,331 |
1,494 |
$0.00 |
| S0209 |
Wheelchair van, mileage, per mile |
1,982 |
837 |
$0.00 |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
246 |
94 |
$0.00 |