| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
76,882 |
9,509 |
$3.74M |
| A0130 |
Non-emergency transportation: wheelchair van |
53,578 |
15,430 |
$3.30M |
| S0209 |
Wheelchair van, mileage, per mile |
53,512 |
15,419 |
$2.28M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
76,826 |
9,491 |
$1.27M |
| T2005 |
Non-emergency transportation; stretcher van |
854 |
668 |
$86K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
14,956 |
3,063 |
$85K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
832 |
654 |
$23K |