| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
13,863 |
2,637 |
$511K |
| T2003 |
Non-emergency transportation; encounter/trip |
13,608 |
2,600 |
$166K |
| S0209 |
Wheelchair van, mileage, per mile |
2,657 |
890 |
$142K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
1,964 |
444 |
$95K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,660 |
895 |
$83K |
| A0100 |
Non-emergency transportation; taxi |
2,111 |
480 |
$30K |