| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
7,859 |
989 |
$244K |
| A0100 |
Non-emergency transportation; taxi |
9,533 |
1,579 |
$233K |
| S0215 |
Non-emergency transportation; mileage, per mile |
8,697 |
2,608 |
$215K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,819 |
454 |
$73K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
5,038 |
1,238 |
$65K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
2,066 |
1,297 |
$29K |
| A0140 |
Non-emergency transportation and air travel (private or commercial) intra or inter state |
43 |
20 |
$762.21 |