| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
165,187 |
75,636 |
$20.92M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
164,213 |
75,137 |
$2.06M |
| S0209 |
Wheelchair van, mileage, per mile |
4,443 |
1,945 |
$3K |
| A0130 |
Non-emergency transportation: wheelchair van |
5,236 |
2,238 |
$139.50 |
| A0100 |
Non-emergency transportation; taxi |
785 |
458 |
$0.00 |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
12 |
12 |
$0.00 |
| T2005 |
Non-emergency transportation; stretcher van |
12 |
12 |
$0.00 |