| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2005 |
Non-emergency transportation; stretcher van |
8,486 |
1,549 |
$2.31M |
| T2003 |
Non-emergency transportation; encounter/trip |
10,312 |
1,359 |
$599K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,912 |
1,104 |
$293K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,296 |
496 |
$35K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,747 |
358 |
$35K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
8,486 |
1,549 |
$5K |