| Code | Description | Claims | Beneficiaries | Total Paid |
| A0100 |
Non-emergency transportation; taxi |
82,779 |
3,116 |
$997K |
| S0215 |
Non-emergency transportation; mileage, per mile |
29,473 |
2,403 |
$402K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,997 |
489 |
$124K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
984 |
222 |
$17K |
| A0140 |
Non-emergency transportation and air travel (private or commercial) intra or inter state |
345 |
92 |
$4K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
94 |
39 |
$480.00 |