| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
8,909 |
1,160 |
$129K |
| S0215 |
Non-emergency transportation; mileage, per mile |
2,539 |
631 |
$46K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
930 |
662 |
$14K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
594 |
156 |
$11K |
| A0140 |
Non-emergency transportation and air travel (private or commercial) intra or inter state |
96 |
15 |
$3K |