| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0209 |
Wheelchair van, mileage, per mile |
37,607 |
7,984 |
$688K |
| A0130 |
Non-emergency transportation: wheelchair van |
40,716 |
8,713 |
$606K |
| S0215 |
Non-emergency transportation; mileage, per mile |
12,012 |
2,031 |
$183K |
| A0100 |
Non-emergency transportation; taxi |
3,994 |
959 |
$75K |
| T2003 |
Non-emergency transportation; encounter/trip |
10,082 |
1,685 |
$73K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
2,476 |
683 |
$17K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,670 |
475 |
$4K |