| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
14,184 |
3,961 |
$1.56M |
| T2005 |
Non-emergency transportation; stretcher van |
3,623 |
1,336 |
$1.24M |
| A0130 |
Non-emergency transportation: wheelchair van |
8,724 |
2,243 |
$1.20M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
8,304 |
1,248 |
$735K |
| S0215 |
Non-emergency transportation; mileage, per mile |
2,823 |
702 |
$39K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
33 |
16 |
$27K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
3,628 |
1,337 |
$11K |
| A0425 |
Ground mileage, per statute mile |
33 |
16 |
$0.00 |