| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| S0209 |
Wheelchair van, mileage, per mile |
9,260 |
2,144 |
$236K |
| A0100 |
Non-emergency transportation; taxi |
10,605 |
2,800 |
$193K |
| A0130 |
Non-emergency transportation: wheelchair van |
9,257 |
2,144 |
$144K |
| S0215 |
Non-emergency transportation; mileage, per mile |
4,079 |
622 |
$72K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
188 |
72 |
$2K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
188 |
72 |
$2K |