| Code | Description | Claims | Beneficiaries | Total Paid |
| T2003 |
Non-emergency transportation; encounter/trip |
92,736 |
4,565 |
$2.61M |
| A0130 |
Non-emergency transportation: wheelchair van |
32,035 |
2,015 |
$1.35M |
| A0100 |
Non-emergency transportation; taxi |
20,566 |
2,453 |
$414K |
| S0215 |
Non-emergency transportation; mileage, per mile |
10,035 |
1,617 |
$217K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
9,926 |
1,167 |
$136K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
130 |
49 |
$4K |