| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
8,307 |
1,231 |
$258K |
| S0215 |
Non-emergency transportation; mileage, per mile |
2,263 |
589 |
$59K |
| A0130 |
Non-emergency transportation: wheelchair van |
783 |
183 |
$50K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,110 |
282 |
$26K |
| A0100 |
Non-emergency transportation; taxi |
237 |
47 |
$5K |
| T2005 |
Non-emergency transportation; stretcher van |
30 |
12 |
$1K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
23 |
14 |
$427.00 |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
30 |
12 |
$0.00 |