| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
38,865 |
3,935 |
$2.44M |
| T2003 |
Non-emergency transportation; encounter/trip |
31,383 |
3,641 |
$1.91M |
| A0130 |
Non-emergency transportation: wheelchair van |
14,610 |
2,404 |
$964K |
| T2005 |
Non-emergency transportation; stretcher van |
778 |
97 |
$208K |
| S0215 |
Non-emergency transportation; mileage, per mile |
4,339 |
937 |
$135K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
778 |
97 |
$0.00 |