| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
17,492 |
3,212 |
$1.90M |
| A0130 |
Non-emergency transportation: wheelchair van |
799 |
272 |
$159K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,893 |
517 |
$30K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
68 |
28 |
$18K |
| T2005 |
Non-emergency transportation; stretcher van |
43 |
17 |
$11K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
43 |
17 |
$0.00 |