| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0209 |
Wheelchair van, mileage, per mile |
43,639 |
8,580 |
$1.81M |
| S0215 |
Non-emergency transportation; mileage, per mile |
26,223 |
6,097 |
$1.44M |
| A0130 |
Non-emergency transportation: wheelchair van |
44,481 |
9,104 |
$908K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
6,542 |
1,897 |
$376K |
| T2003 |
Non-emergency transportation; encounter/trip |
23,709 |
5,902 |
$298K |
| A0100 |
Non-emergency transportation; taxi |
3,340 |
575 |
$126K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
1,029 |
172 |
$72K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
5,514 |
1,892 |
$61K |