| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
38,824 |
8,840 |
$3.27M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
38,330 |
8,610 |
$506K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
3,823 |
1,145 |
$39K |
| S0209 |
Wheelchair van, mileage, per mile |
18 |
13 |
$0.00 |
| A0100 |
Non-emergency transportation; taxi |
264 |
106 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
18 |
13 |
$0.00 |