| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0209 |
Wheelchair van, mileage, per mile |
42,779 |
5,508 |
$2.40M |
| S0215 |
Non-emergency transportation; mileage, per mile |
12,914 |
2,779 |
$1.08M |
| A0130 |
Non-emergency transportation: wheelchair van |
37,548 |
6,015 |
$1.03M |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
13,604 |
2,327 |
$1.01M |
| A0100 |
Non-emergency transportation; taxi |
3,667 |
1,008 |
$356K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
9,837 |
2,291 |
$147K |
| T2003 |
Non-emergency transportation; encounter/trip |
10,135 |
2,677 |
$126K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
2,079 |
290 |
$120K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
266 |
134 |
$5K |