| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
32,011 |
3,172 |
$1.33M |
| T2003 |
Non-emergency transportation; encounter/trip |
32,715 |
2,419 |
$939K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
13,407 |
1,688 |
$324K |
| S0215 |
Non-emergency transportation; mileage, per mile |
3,817 |
863 |
$93K |
| A0100 |
Non-emergency transportation; taxi |
1,290 |
230 |
$21K |
| T2005 |
Non-emergency transportation; stretcher van |
24 |
12 |
$7K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
24 |
12 |
$0.00 |