| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
7,800 |
1,152 |
$3.93M |
| T2005 |
Non-emergency transportation; stretcher van |
9,602 |
1,530 |
$1.65M |
| A0130 |
Non-emergency transportation: wheelchair van |
3,913 |
658 |
$398K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
9,601 |
1,530 |
$239K |
| S0209 |
Wheelchair van, mileage, per mile |
3,776 |
621 |
$141K |
| A0100 |
Non-emergency transportation; taxi |
4,862 |
923 |
$97K |
| S0215 |
Non-emergency transportation; mileage, per mile |
4,532 |
922 |
$58K |