| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0380 |
Bls mileage (per mile) |
17,131 |
3,329 |
$950K |
| T2005 |
Non-emergency transportation; stretcher van |
2,899 |
962 |
$759K |
| A0130 |
Non-emergency transportation: wheelchair van |
15,092 |
2,637 |
$444K |
| A0425 |
Ground mileage, per statute mile |
5,180 |
507 |
$211K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
3,510 |
1,166 |
$137K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
1,173 |
751 |
$28K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
5,195 |
506 |
$28K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,259 |
125 |
$13K |