| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
27,861 |
3,788 |
$927K |
| T2003 |
Non-emergency transportation; encounter/trip |
11,087 |
1,826 |
$606K |
| S0215 |
Non-emergency transportation; mileage, per mile |
9,631 |
2,682 |
$272K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
4,987 |
661 |
$239K |
| A0130 |
Non-emergency transportation: wheelchair van |
588 |
125 |
$37K |
| A0140 |
Non-emergency transportation and air travel (private or commercial) intra or inter state |
327 |
190 |
$14K |