| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
81,097 |
8,165 |
$2.74M |
| T2005 |
Non-emergency transportation; stretcher van |
7,684 |
1,535 |
$2.07M |
| A0130 |
Non-emergency transportation: wheelchair van |
40,876 |
5,175 |
$1.80M |
| S0215 |
Non-emergency transportation; mileage, per mile |
915 |
239 |
$23K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
800 |
111 |
$15K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
7,684 |
1,535 |
$14K |
| A0100 |
Non-emergency transportation; taxi |
479 |
102 |
$8K |