| Code | Description | Claims | Beneficiaries | Total Paid |
| A0100 |
Non-emergency transportation; taxi |
64,958 |
9,126 |
$2.66M |
| S0215 |
Non-emergency transportation; mileage, per mile |
18,165 |
7,292 |
$2.40M |
| S0209 |
Wheelchair van, mileage, per mile |
6,027 |
1,925 |
$1.45M |
| A0130 |
Non-emergency transportation: wheelchair van |
4,222 |
671 |
$184K |
| T2003 |
Non-emergency transportation; encounter/trip |
478 |
215 |
$75K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
1,997 |
1,515 |
$31K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
681 |
277 |
$13K |