| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0209 |
Wheelchair van, mileage, per mile |
26,817 |
5,227 |
$399K |
| A0130 |
Non-emergency transportation: wheelchair van |
27,498 |
5,616 |
$356K |
| S0215 |
Non-emergency transportation; mileage, per mile |
20,837 |
2,913 |
$150K |
| T2003 |
Non-emergency transportation; encounter/trip |
20,356 |
2,820 |
$112K |
| A0100 |
Non-emergency transportation; taxi |
2,963 |
700 |
$54K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
1,577 |
469 |
$2K |
| T2005 |
Non-emergency transportation; stretcher van |
12 |
12 |
$600.00 |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
12 |
12 |
$542.40 |