| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
10,252 |
2,680 |
$420K |
| S0215 |
Non-emergency transportation; mileage, per mile |
10,656 |
960 |
$373K |
| A0100 |
Non-emergency transportation; taxi |
10,501 |
2,727 |
$174K |
| T2003 |
Non-emergency transportation; encounter/trip |
10,256 |
916 |
$172K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,209 |
374 |
$57K |
| S0209 |
Wheelchair van, mileage, per mile |
2,300 |
374 |
$50K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
22 |
20 |
$947.50 |