| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
35,025 |
8,458 |
$1.74M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
30,124 |
6,407 |
$1.26M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,391 |
1,276 |
$378K |
| A0130 |
Non-emergency transportation: wheelchair van |
12,300 |
2,052 |
$302K |
| T2003 |
Non-emergency transportation; encounter/trip |
9,952 |
1,270 |
$123K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
1,378 |
224 |
$261.22 |
| T2001 |
Non-emergency transportation; patient attendant/escort |
68 |
25 |
$215.00 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
120 |
31 |
$45.00 |