| Code | Description | Claims | Beneficiaries | Total Paid |
| T2003 |
Non-emergency transportation; encounter/trip |
8,807 |
2,436 |
$849K |
| A0100 |
Non-emergency transportation; taxi |
20,874 |
1,756 |
$574K |
| S0215 |
Non-emergency transportation; mileage, per mile |
8,957 |
2,238 |
$388K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,107 |
368 |
$181K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
4,976 |
442 |
$60K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
1,679 |
865 |
$33K |