| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
10,164 |
2,134 |
$591K |
| S0209 |
Wheelchair van, mileage, per mile |
15,323 |
2,855 |
$578K |
| A0130 |
Non-emergency transportation: wheelchair van |
15,928 |
2,955 |
$384K |
| T2003 |
Non-emergency transportation; encounter/trip |
10,061 |
2,112 |
$158K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
2,909 |
697 |
$131K |
| A0100 |
Non-emergency transportation; taxi |
3,896 |
915 |
$95K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
23 |
12 |
$2K |