| Code | Description | Claims | Beneficiaries | Total Paid |
| A0380 |
Bls mileage (per mile) |
46,573 |
8,440 |
$4.91M |
| A0130 |
Non-emergency transportation: wheelchair van |
48,073 |
8,332 |
$1.59M |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
23,490 |
6,902 |
$667K |
| A0390 |
Als mileage (per mile) |
1,430 |
266 |
$246K |
| A0425 |
Ground mileage, per statute mile |
154 |
66 |
$85K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
6,427 |
3,031 |
$41K |
| T2003 |
Non-emergency transportation; encounter/trip |
81 |
57 |
$22K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
829 |
266 |
$22K |
| T2005 |
Non-emergency transportation; stretcher van |
397 |
159 |
$16K |