| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
17,183 |
4,595 |
$3.07M |
| T2003 |
Non-emergency transportation; encounter/trip |
8,534 |
2,140 |
$2.45M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
13,712 |
2,995 |
$2.44M |
| T2005 |
Non-emergency transportation; stretcher van |
875 |
330 |
$523K |
| S0215 |
Non-emergency transportation; mileage, per mile |
560 |
422 |
$16K |
| A0425 |
Ground mileage, per statute mile |
94 |
31 |
$13K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
94 |
31 |
$10K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
875 |
330 |
$1K |