| Code | Description | Claims | Beneficiaries | Total Paid |
| S0215 |
Non-emergency transportation; mileage, per mile |
25,569 |
4,437 |
$1.24M |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
12,910 |
2,347 |
$754K |
| A0100 |
Non-emergency transportation; taxi |
23,537 |
4,321 |
$357K |
| T2003 |
Non-emergency transportation; encounter/trip |
13,732 |
2,614 |
$202K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
1,302 |
638 |
$53K |
| A0999 |
Unlisted ambulance service |
310 |
181 |
$8K |