| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
268,546 |
37,547 |
$9.50M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
85,423 |
26,575 |
$5.27M |
| A0130 |
Non-emergency transportation: wheelchair van |
2,369 |
738 |
$104K |
| S0215 |
Non-emergency transportation; mileage, per mile |
5,655 |
1,516 |
$64K |
| T2003 |
Non-emergency transportation; encounter/trip |
48 |
15 |
$2K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
1,308 |
205 |
$682.45 |