| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
55,045 |
10,102 |
$6.31M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
71,748 |
12,401 |
$3.20M |
| S0215 |
Non-emergency transportation; mileage, per mile |
29,398 |
6,296 |
$1.76M |
| A0100 |
Non-emergency transportation; taxi |
7,184 |
939 |
$682K |
| A0130 |
Non-emergency transportation: wheelchair van |
312 |
101 |
$37K |
| A0425 |
Ground mileage, per statute mile |
90 |
39 |
$5K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
90 |
39 |
$0.00 |