| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
19,839 |
2,900 |
$622K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,780 |
728 |
$175K |
| T2005 |
Non-emergency transportation; stretcher van |
128 |
40 |
$25K |
| S0215 |
Non-emergency transportation; mileage, per mile |
247 |
105 |
$13K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
419 |
80 |
$8K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
128 |
40 |
$6K |
| A0100 |
Non-emergency transportation; taxi |
101 |
32 |
$2K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
34 |
31 |
$490.75 |