| Code | Description | Claims | Beneficiaries | Total Paid |
| A0100 |
Non-emergency transportation; taxi |
50,873 |
8,021 |
$1.98M |
| S0215 |
Non-emergency transportation; mileage, per mile |
17,613 |
4,962 |
$1.03M |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
8,673 |
4,639 |
$172K |
| A0140 |
Non-emergency transportation and air travel (private or commercial) intra or inter state |
618 |
243 |
$44K |
| A0130 |
Non-emergency transportation: wheelchair van |
588 |
143 |
$31K |
| T2003 |
Non-emergency transportation; encounter/trip |
340 |
261 |
$29K |