| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
30,243 |
4,276 |
$1.86M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
29,000 |
1,584 |
$1.30M |
| T2003 |
Non-emergency transportation; encounter/trip |
9,830 |
1,053 |
$496K |
| A0100 |
Non-emergency transportation; taxi |
5,855 |
371 |
$97K |
| S0215 |
Non-emergency transportation; mileage, per mile |
5,241 |
1,068 |
$82K |
| T2005 |
Non-emergency transportation; stretcher van |
135 |
30 |
$21K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
115 |
28 |
$9K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
135 |
30 |
$3K |
| A0425 |
Ground mileage, per statute mile |
115 |
28 |
$0.00 |