| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
42,649 |
12,291 |
$2.39M |
| A0380 |
Bls mileage (per mile) |
37,423 |
13,189 |
$1.78M |
| T2005 |
Non-emergency transportation; stretcher van |
1,026 |
947 |
$58K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
1,085 |
931 |
$36K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
542 |
349 |
$14K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
132 |
84 |
$12K |
| A0390 |
Als mileage (per mile) |
278 |
174 |
$11K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
376 |
343 |
$5K |