| Code | Description | Claims | Beneficiaries | Total Paid |
| T2003 |
Non-emergency transportation; encounter/trip |
45,331 |
2,966 |
$1.26M |
| A0130 |
Non-emergency transportation: wheelchair van |
6,990 |
984 |
$352K |
| S0215 |
Non-emergency transportation; mileage, per mile |
4,925 |
758 |
$105K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
4,780 |
625 |
$66K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
373 |
235 |
$4K |
| A0100 |
Non-emergency transportation; taxi |
30 |
12 |
$1K |