| Code | Description | Claims | Beneficiaries | Total Paid |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
15,694 |
2,869 |
$1.03M |
| A0100 |
Non-emergency transportation; taxi |
37,316 |
3,854 |
$305K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
6,366 |
2,060 |
$107K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
5,929 |
2,559 |
$28K |
| S0215 |
Non-emergency transportation; mileage, per mile |
132 |
31 |
$7K |
| T2003 |
Non-emergency transportation; encounter/trip |
29 |
12 |
$312.00 |