| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
24,840 |
9,108 |
$878K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
20,003 |
5,865 |
$815K |
| A0100 |
Non-emergency transportation; taxi |
17,099 |
3,407 |
$637K |
| T2003 |
Non-emergency transportation; encounter/trip |
5,698 |
2,221 |
$443K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,969 |
1,502 |
$323K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
5,971 |
3,286 |
$130K |
| A0140 |
Non-emergency transportation and air travel (private or commercial) intra or inter state |
84 |
43 |
$4K |