| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
26,604 |
6,128 |
$1.24M |
| A0100 |
Non-emergency transportation; taxi |
36,062 |
8,367 |
$762K |
| S0215 |
Non-emergency transportation; mileage, per mile |
8,717 |
962 |
$235K |
| S0209 |
Wheelchair van, mileage, per mile |
5,453 |
1,169 |
$168K |
| T2003 |
Non-emergency transportation; encounter/trip |
8,026 |
964 |
$144K |
| A0130 |
Non-emergency transportation: wheelchair van |
5,670 |
1,258 |
$142K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
2,426 |
700 |
$135K |
| A0999 |
Unlisted ambulance service |
1,319 |
792 |
$23K |