| Code | Description | Claims | Beneficiaries | Total Paid |
| T2003 |
Non-emergency transportation; encounter/trip |
93,181 |
14,597 |
$7.04M |
| S0215 |
Non-emergency transportation; mileage, per mile |
31,715 |
6,463 |
$2.30M |
| A0130 |
Non-emergency transportation: wheelchair van |
9,669 |
1,864 |
$1.10M |
| T2005 |
Non-emergency transportation; stretcher van |
1,444 |
320 |
$488K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
9,836 |
1,761 |
$349K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
1,444 |
320 |
$15K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
162 |
70 |
$2K |