| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
9,052 |
858 |
$256K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
3,991 |
653 |
$137K |
| A0100 |
Non-emergency transportation; taxi |
7,005 |
1,111 |
$104K |
| T2003 |
Non-emergency transportation; encounter/trip |
5,599 |
406 |
$102K |
| S0209 |
Wheelchair van, mileage, per mile |
1,698 |
370 |
$66K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,656 |
370 |
$45K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
33 |
12 |
$2K |