| Code | Description | Claims | Beneficiaries | Total Paid |
| T2003 |
Non-emergency transportation; encounter/trip |
26,888 |
4,423 |
$1.91M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
6,292 |
1,030 |
$481K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,110 |
1,084 |
$336K |
| A0100 |
Non-emergency transportation; taxi |
7,157 |
470 |
$146K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,854 |
490 |
$140K |
| T2005 |
Non-emergency transportation; stretcher van |
127 |
36 |
$10K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
127 |
36 |
$0.00 |